KNEEtalk

DIARIES => Post op diaries (>300 posts) => Topic started by: Sore knee on May 27, 2008, 03:35:15 PM

Title: Patella stabilisation post op diary
Post by: Sore knee on May 27, 2008, 03:35:15 PM
I am a bit late starting this but decided to do so.

I have had a year now of knee issues, well always had an irritable knee but last May 07 had a LR by a surgeon whom i will not name but found his post op care less than inspiring. 3 months on I was still on crutches with massive swelling - he told me to go to the gym.

Anyhow changed OS and had a scope Aug 07 to clear out any inflammation

Have been in PT for a year and still a very loose patella that I could almost play ping pong with.

So I saw my OS on April and he said my knee cap was loose and it was time for a patella stabilisation...May 16th was the date



Had travelled abroad to see my Dad and got home the night of the 15th, which worked well as I get really nervous before ops and it helped take my mind off tings.

I went in on the 16th and thankfully managed to speak to the anaesthetist before hand explaining how sick I had been last time and how afterwards I was still throwing up almost 18 hours later and nurses were giving me oral meds which was a nightmare as every time I was sick they had to check to see if I had kept pain killers. Yuch !

So the prep nurse was a man this time, oh joy I thought could things get any more embarassing, however fate was not to let me down.  Once the nurse  put on all the monitors on my chest and one on my side for some reason. The OS then came in and those of you who know about my OS well you will appreciate this moment.

 I felt the panic rise and thought seriously deep breath, hold your breath do something Joanne, think bad thoughts...no think good thoughts...no think nothing, dont breathe, no do breathe and a multitude of panicking thoughts to try and control my heart rate. ....All of them were triple underscroed with  but PLEASE dont make that machine bleep like mad.

The monitor was just starting to pick up speed, I could see it and like a movie scene you know where they go itno slow motion its about to just be a nightmare and then  the nurse (whom I told my concerns to about the aneasthetic) said ok now is the time to tell this man - the aneasthetist -  about your experiences so he can give you the right meds and turned down the volume. Oh I could have kissed him, I felt the relief sweep over me as I could see the swing doors to the op theatre open and the rest of the team all standing in there waiting on me. This was one grand entrance I was really kind of scared of making.

By this time I felt a bit more confident. My heart rate despite thundering through my chest was at least not heard even if visible to anyone who looked at the screen. However  at least I had a nice tan from being abroad and my hair was all blond from the sun. I figured if I ever had to meet anyone I was intimidated by at least this was the best time. Just home, no peeling from the sun (as yet) anda face that despite being petrified I knew looked fairly brown. Yes I was careful used sun protection but I am lucky, I have my dad's skin and in the sun I go brown. Great if only I lived in a  sunny country. Most of the time I look peely wally white here...for those who dont understand the local slang, I look all pale, tired and as if I am going to be ill I am so pale.

So despite being in a fetching hospital gown   (yeah right, I think the theory is they look bad enough you can only think yourself well faster in order to be able to wear your own clothes) which was being pulled down for the monitors my OS came up and stood beside the Aneasthetist. How are you he said.....(I thought do you want the truth but of course was not so bold as to say) and said I'm ok thanks, a bit nervous though. He said ohhh dear, well dont worry I'm nervous too does that help you. I said oh thats reassuring and we both laughed. I then told the Aneath about my previous issues with aneasthetics. He said he would ensure there was plenty local anesth put in so that it bought us some time after the op before I would need pain meds. (That bit didnt quite go to plan)

So he was great, him and the OS were there going through my file and the op notes from before to decide what to do. He gave me the stuff in my arm and the room started to swirl and then lay me flat and used the mask over my mouth which he said was just oxygen and to relax.....yeah yeah...and that was it. I could feel the panick rising by that time but didn't have time to feel any more.

The next I kew I was in the intensive care recovery. I had a mask over my mouth and was aware of noise but not quite there. I could hear the chat and what they were saying but couldn't quite bridge the gap and reach where they were. Then I was suddenly aware of huge throbbing pain. I started to make noise....you know where you hear noise but cant believe its you. A bit I assume like an out of body thing as people were shaking me gently asking me to wake up and I couldn't. I just kept saying pain, and they said are you in pain and I made some feeble gesture with my head. They gave me something in my arm..into the plastic thing they have in your wrist actually. It was cold and they said in a few seconds is that better. I was now becoming more aware and I knew it wasn't.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on May 27, 2008, 03:46:45 PM
They gave me 3 more shots of morphine.
Eventually they said if your pain is a 6 on the pain scale where are you now ...they gave me another shot. I said 5 so they gave me another shot. All in all I had about 10 shots of it over the period of time. They gave me morphine in about 2mg  or  ml  or whatever units they use at a time as I had already had so much local they said so I didnt have an excessive amount, just they gave it in small doses, I was still not with it at all but after 2 hours they took me to my room.

Nurses kept shining torches in my eye and saying wake up. I knew they were saying it to me it was weird but it was like I was just too sleepy. However it was peaceful, dreamy sleep with no discomfort and everything seemed an effort so I just lay there and even when I wanted to wake up its like I drifted away again. They got one of those body board things to move me into my bed and I kind of slipped along it or thats how it felt. Thinking back I really amnt that heavy and figured my husband could have lifted me in but as I found out later the chief nurse a matron like woman and who was scary as hell did everything as it should be. She scared the hell out of me, never smiled once. not a hair out of place and nippy with you. Not someone I would argue with thats for sure.

So in my room, pain now under control and I got a peak under the blankets to see the brace they had me in. I think I was finally able to speak about 3.30pm that afternoon from the op being at 8am. I never come round well after aneasthetics, my hubbie had to keep telling them that on the ward as they were getting in  a real tizz saying they hadnt seen anyone as sleepy as me afterwards and my pupils were still pin pricked or something like that. However that doesn't freak me out anymore as thats all 3 times, they just keep me on oxygen masks until I fully wake up. Apparently even then I did have some interesting conversations that I have no recollections of whatsoever.
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on May 27, 2008, 04:23:00 PM
Good story Joanne!!  I can't believe how long it took to wake up! I didn't like the waking up part, but I eventually had to.  They just bothered me so much. 

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on May 27, 2008, 05:43:12 PM
So fast forward 10 days now.

I went to see my OS yesterday who took my dressing off and told me all about things.

Apparently I have a shallow trochlea which doesnt help my situation. My patella is probably pre-disposed to sliding off but the LR didn;t help as it then lost all stabilising factors really and required this. As per my posts on my pre-op diary I said everything he done there.

However he has tightened the ligaments medial side along with the retinaculum ?.

I am in a splinted brace and cant bend. At present I am only allowed up to 40* bend although I am nowehere near that.

I got the post op rehab programme guidelines today which I will post later.
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on May 27, 2008, 05:57:35 PM
Hello Joanne, I have a fairly flat trochlea too.  They showed me the images inside my knee and there wasn't much to hold my knee cap in place.  My OS was afraid that he may have to go back and do a trochleoplasty eventually, but I don't think that has to happen now. 

So are you in much pain now?  I hope it is being controlled well.  Pain sucks!  Are you walking only with crutches?  Or are you allowed to weight bear? 

You seem to be handling this very well!!  I admire your courage now!!!  Sounds painful!  Are you suppose to start PT at all?  When is your next OS apt?  Good luck!!! 

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on May 28, 2008, 03:24:02 AM
Hi Joanne,

Your post-op diary is fantastic. I can't wait to read the next instalment !!!

I'm so glad that you changed OS's. This new guy sounds like he's really on the ball.

Like you I had a lateral release and patella stabilisation. My OS has been thinking of doing the trochleoplasty for a while and in the end decided it was my best option.

Farrah/Joanne, if you ever need a trochleoplasty as least I'll be able to tell you about it. The pain isn't actually too bad.

Look forward to reading the next installment.  ;)
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on May 28, 2008, 10:25:00 AM
why did you end up with a trocheoplasty Kirsty ? Did you still have patella issues after your previousnsurgeries, did the tightened tissue stretch ?

Just curious as it sounds like I have a similar history to yours and wondered how the stabilisation failed or what happened ?

Will post later
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on May 28, 2008, 10:52:25 AM
Hi Joanne,

I developed one of the risks of a lateral release, medial instability. My CT scans also showed I had a tendency to have lateral instability as well. In the end my knee cap would come out laterally and medially. My OS said it's a really difficult problem to fix. He thought doing a trochleoplasty was my best chance of resolving my instability problems.

Last year I had a car accident where they think my knee hit the dashboard, which made my knee very unstable. I tried heaps of conservative treatment, but nothing worked.

So, that's why I had the trochleoplasty.

Look forward to your next instalment.  :D
Title: Re: Patella stabilisation post op diary
Post by: tanyap on May 28, 2008, 11:19:31 AM
Hi Joanne,
GREAT diary!!! Very interesting.
I am the opposite after anasthetisia, not only do I come round pretty quick but I wake up FEROCIOUSLY hungry so I started begging for food within minutes :)
The only bad thing that happens me is the shivering, but I looked around and other people were shivering so I guess its normal.

Completely opposite to you guys also in that i do NOT have a flat trochear groove. My current OS wonders if they should have bothered doing the stabilisation on my at 14 years of age and perhaps should have just cleaned the joint out and done and LR but not the TTT - however we dont know the answer to that as it was done and thats that.

Joanne - I look forward to the next installment!!
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on May 28, 2008, 12:24:31 PM
ell I started this diary as I got my post op rehab protocol with at least a 12 week programme and figured this is a good place t see my progress.

I ended up at hospital yesterday as my wound has opened slightly but is now looking more than the little gap it was.

here are my piccies....hours after the op.

And photos today. Cant show you the full photos yet of my knee as I will take those when I have the brace off, my scope wounds have virtually disappeared.

ooops gotta resize them hang on
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on May 28, 2008, 12:30:17 PM
oops no will have to do it on the computer and not off my phone will post them later
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on May 28, 2008, 12:42:22 PM
I will try and post these photos now

1st day of op, my first look although not much to see
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on May 28, 2008, 12:44:12 PM
2nd photo again just through brace, the wound opened.
At first it was just a dry line
Yesterday it was a wee bit swollen with red line starting along it but its ok
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on May 28, 2008, 12:45:30 PM
and todays photo of the wound.

I will get one of my whole knee next time brace is off
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on May 29, 2008, 01:35:14 AM
What did the hospital say about your incision opening up?  I hope you are okay.  Do you have screws or something in there?  Maybe you are allergic to them like Brianne was.  I hope you are feeling okay besides that.  How have you been?  Do you work?  If so, when do you go back?  How have your kids been through all of this for you?

Farrah
Title: Re: Patella stabilisation post op diary
Post by: tanyap on May 29, 2008, 09:00:42 AM
Hi Joanne,
Hows the incision?
I dont know what to make of the pics. It certainly looks clean - no dangerous redness around it etc...but it is kinda nasty looking opening like that? Mind you if its just healing from the inside out perhaps thats just how it goes, maybe its going to heal with a kinda of wide scar like my original surgery? Just keep an eye on it, make sure if it get red round the edges, starts seeping anything ugly, or gets obviously 'wrong' looking then get it checked out. I assume since your OS saw it so recently its fine.
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on May 29, 2008, 10:54:59 AM
When he saw it you didnt even know there was an incision. We took the dressings off and you couldnt see it seriously it was amazing. It was in the next 24 hours when I started bending my leg a little it started to open. I showed my PT and he got a nurse on Tuesday and said it looked ok so I will take photos every couple of days and see if it changes.

It stings a good bit but is fine..I think.
Title: Re: Patella stabilisation post op diary
Post by: tanyap on May 29, 2008, 10:58:00 AM
I think if you keep it clean and covered it will be fine - its a good idea to take pics to see if it changes, it might just be that as it was deep it is slower healing top down than bottom up if you know what i mean?
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on May 29, 2008, 12:04:15 PM
Hi Joanne,

How's the incision ? I hope you are feeling ok.

Title: Re: Patella stabilisation post op diary
Post by: Sore knee on May 29, 2008, 03:43:02 PM
I will take a piccie later on and post it. Its fine I think....very sore and stingy but I guess thats normal.

I will start to post my re-hab protocol written by the OS.

I see my PT next Tuesday again as for the first few weeks very little can be done as we cant work the knee too hard, its really just to stop it all tightening up. Static quads, no SLRs really. Trying to encourage weight bearing....but I have been doing that myself anyway. I only use crutches out the house.

I am doing ok and gently trying to stretch things out.

Will post with piccie later.

Love to all
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on May 29, 2008, 06:29:34 PM
Well I was on my fet a lot today and its complaining tonight.

I have a couple of piccies off my phone of tonights knee with no brace.

I will post my post op programme for this stage later on once kiddies are in bed.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on May 29, 2008, 06:32:05 PM
and another
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on May 29, 2008, 06:33:25 PM
and a close up
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on May 29, 2008, 06:35:48 PM
Over all I am pleased as you can hardly see my scope wounds. Its the thrid time they have been opened up so I expected them to cause me problems. A bit more worried about the incision but its not leaking or anything and the nurse told me its just fluid buislding up round the edge. I reckon if there was any cause for concern it would be oozing or doing more so just keep going.
How are you all today ?
Title: Re: Patella stabilisation post op diary
Post by: Beda on May 29, 2008, 08:05:34 PM
Joanne- welcome to the world of a hopefully stable patella. Your wound looks very neat and tidy, I'm sue there no reason for concern, only if it starts oozing something yellow or nasty should you be concerned. i wish they did such a neat job when they did mine for 27 years ago. But I suppose then they had different methods and instruments, and had to be more radical. Mine worked fine by the way, but I just got other problems aftewards. I was immobilized with FWB for 6 weeks, At that time there was no fancy brace but a POP cast. My wound was sewn with 18 stitches, which didnt come out for 6 weeks because i was immoblized in a cast. its truely amazing how far theyve come these days!!
Keep up the good work, hope you have  a speedy recovery
Love beda xx
Title: Re: Patella stabilisation post op diary
Post by: tanyap on May 30, 2008, 09:03:03 AM
Hi Joanne,
it looks good!! Thats gonna heal up fine, as Beda says, unless it starts leaking anything nasty there is no cause for worry. Its going to be a very neat job when it heals!! Are you keeping the incision covered all the time (except for pics of course!!). So long as you keep that clean the body will look after it and seal it all up soon.
The scope holes look great!!

My scope holes look a little sore this morning after taking my stitches out, Ive got like tiny stitch marks as well as the incision marks!!! They should disappear shortly!

Are you off crutches Joanne? I know you were only using the outside last time you mentioned them.
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 02, 2008, 11:09:30 AM
I use one crutch when I'm out. I am determined this time to be more mobile and less reliant on others. Pain and discomfort is variable. Inside the house I hobble.

Still have the brace on although my knee is kind of huge today and my shin, ankle and foot swollen somewhat too.

Wound is fine but still not closed over.

so here is my rehab :

Day 1 - Day 10 / Return Clinic

compression bandage / crepe comes off leaving clear dressing
tubigrip applied

patient is instructed on static quads which are encouraged as able
No ROM exercises undertaken at this time
Camp splint / hinged knee brace remains in situ to prevent knee flexion
Patient is mobilised, partial weight bearing with crutches

10 days - 4 weeks

Wound is checked by consultant
Physio is commenced
ROM is encouraged - no more than 40 degrees
Patient continues in camp splint
If patient wears hinged brace range can be up to 40 degrees only if good quad control
Static quads and iner range quads encouraged
Proprioception exercises commenced for patients in brace from 0 to 40 degrees only if quads are good enough

My quads arent strong due to the year of knee issues so I may be slowe I guess.

My knee is huge. Its at least double the size of the other knee.
I see my PT tomorrow. I will take a photo later if I can.

Hope you are all ok
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 02, 2008, 11:14:41 AM
Joanne, how come your knee is so huge? Did you do anything to make it bigger? How does the incision look? Sometimes just being upright causes fluid to collect in the post surgery knee. I think exactly the same about me as far as rehab goes, it will take me some time because I couldnt use my leg properly for so long. Aw well, we will just have to be patient i guess!!
xx
Title: Re: Patella stabilisation post op diary
Post by: Beda on June 02, 2008, 11:58:25 AM
Joanne, just the fact your upright makes your leg swell up after surgery. It is very important that you elevate it at every oppertunity you have to prevent this from happening too much. The wound can ooze a clear fluid, but this is normal and will disperse after  a while. It just shouldnt be gaping open or anything, and keep it covered with a clean sterile gauze dressing every day, failing that one of thoses great big meopore plasters (the white ones) you can get for surgical wounds. They are best because they stop dirt and dust from getting in as they are sealing the wound in. Dont try to poke or prod at it, it itches i bet?! If it itches its a good sign, a sign of healing.
Good luck with it all
Love beda xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 02, 2008, 04:38:54 PM
Thanks guys :)

No itching, not oozing really just quite tender and painful.

I still have a huge amount of burining and tension that goes down the medial side of my leg and round into the back underside of my knee. Alsong with the pain down from the medial side of the patella. At times it creeps right over the top if the patella and goes down into the shin bone.

My ankle and foot is swollen, I never get swollen ankles so this is weird for me.

Some photos for you today.

1st - doesnt give you the overalll swelling but shows you the size
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 02, 2008, 04:40:35 PM
photo number 2
close up of wound but lighting may have effected its outcome a bit as I took it with my phone.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 02, 2008, 04:42:24 PM
Photo 3 for you
This gives a slightly better idea of swelling but its not a great angle. It shows swelling in my lower leg but I couldnt do it standing up to show you properly. Even the back of my knee feels swollen.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 02, 2008, 04:43:46 PM
last one
Title: Re: Patella stabilisation post op diary
Post by: Beda on June 02, 2008, 04:52:55 PM
Joanne, its really looking very good, everything taken into consideration!! the wound looks better, and the swelling is about as swollen as mine is now (before surgery!!!) The swelling will be helped by elevation AT EVERY POSSIBLE OCCASION, and ice.
Hope things continue to go well for you
Love beda xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 02, 2008, 06:15:01 PM
Thanks Beda

Things dont feel great tonight. I fel a deeper burning inside and the swelling is more again. I hope a rest tonight will help but I see my PT tomorrow.

Thanks for your support :)
Title: Re: Patella stabilisation post op diary
Post by: Beda on June 02, 2008, 06:19:51 PM
Hope for you all is well, your PT will be able to assess it tomorrow. Its difficult to see the real state of it with pics from the phone, as you say, the lighting could trick a bit. I do hope that the deep burning is only 'cos youve been on it today.
Love beda xx
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 02, 2008, 08:09:35 PM
Hi Joanne,
you need more elevation I think. My foot and ankle were all fat and puffy looking the first 2 days after my op - I spent an hour or so a day on my back on the bed with 4 pillows under my legs and my feet resting on the wall to try and encourage the swelling out of the limb - you need to get the site of swelling above the heart, so with your knee the best way is for you to be flat on your back with your legs up on something. I know you arent bending yet, so maybe some sort of sling/cushion affair for you to get them up as high as possible as straight as possible?
Also keep twirling your foot around with your ankle and keep clenching your toes - its helps with the circulation and may move some of that fluid out of your leg.

The wound looks ok - its doesnt look infected but it looks sore!!!
Get your PT to have a look at it tomorrow.
xx
Title: Re: Patella stabilisation post op diary
Post by: kathat on June 02, 2008, 11:51:02 PM
Hi Joanne,

I must apologise for not finding your diary before today - I'm not very observant obviously!  ::)

Your wound is looking better. I wonder if the puffiness around the incision and the gaping could have been due to an allergy to the glue (they glued it, did they?). It does look as though it's settling though. The swelling is something that you just have to treat by elevating as much as possible. I spent most of the two weeks post-op in bed with my feet up and ice on my knees, and then I still had to spend big chunks of time with my feet up after that, in order to keep the swelling at a minimum. Having an immobiliser certainly doesn't help the swelling.

I hope the aching improves and that PT goes okay.

Kathy
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 03, 2008, 07:41:44 PM
Thanks guys

My leg, shin and ankle are big , the skin is going shiny on my shin and to point my toes forward hurts as the skin is so tight over the front of my ankle onto my foot.

The PT todays was just like well its all huge isn't it. You have maybe just iriitated it. Try and do some ankle pumping so we can get the lymphatic drainage working. He tried to get some bend in the knee I got 23 degrees which is not huge for this stage, he would hope we would be easing gently towards 40 but no more.

He done some ultrasound on it as when he was trying to touch some of it I was grabbing his wrists to stop him. I know him well now so he wa slaughing...I wasnt but he knows me and tells me about his weekend and anything to distract me now. In fact this is how fit him and my OS are. They met up and went cycling for 100 miles around some beautiful country villages near where they live - I know them all and no the distances and how they done a giant circle. 100 miles in 6 hours on bike...and obviously not a motorbike. Thats pretty impressive.

So he regailed me with stories like that and I have to see him next week but if I have any further changes I have to ring him.

Its the tension down the side of the knee which he says is worse because of the swelling and maybe I have irritated some of the scar or new tissues attaching the ligaments or soft tissue they altered. I dont know really, I just said I knew something was different from last week. I feel as if my knee is twisting, my thingh wants to turn towards the medial side whislt my shin and foot want to point out laterally slightly. He thinks its all swelling related.

Dont know, guess we just have to wait and see. So I am sore tonight, a bit dejected. Guess I wanted a quick fix or even thought like my last surgery they may aspirate the knee but no suggestion of that and I certainly wasnt going to suggest it as it hurt like hell last time.

So keep going on and be posotive. Keep pushing myself and elevating when I can.
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 03, 2008, 07:54:36 PM
Hi Joanne,
It just takes time for all this stuff to settle down and if swelling comes up it can be hard to make it go away, its easier to swell than unswell if you know what I mean.
At least the physio was rather unperturbed by it all and just got on with things, if he was worried he would have said do.
What did he think of your incision?

I get that twisting feeling too - I think its from my bum muscles being weak - its lets my femur twist ina bit from the bum, but the lower part of my leg wants to be straight. I think a painful knee can let the body just do that.

Its still early days yet, so no worries, it will all come good soon enough.
xx
Title: Re: Patella stabilisation post op diary
Post by: Beda on June 03, 2008, 08:10:36 PM
Hi Joanne. i agree with tanya, if the PT wasnt too worried about it, the chances are its all very innocent. All you need to do is keep elevating as much a possible Elevate at EVERY possible occasion. The worse thing you can do is sit on a chair normally with your feet down. This cuts off the lymphatic drainage at the knee, and you get this incredible swelling, and the skin goes shiney 'cos its being stretched. it's nothing serious!! But uncomfortable. When you go to bed tonight, try to have you knee higher than the level of your heart. (dont have too many head pillows).
Hope it gets better soon Love beda xx
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on June 04, 2008, 02:22:41 AM
Hello Joanne, sorry about all the swelling you are having.  Did you do something more than usual recently?  Or is it just a random problem?  It sounds like you have a great PT that you can trust.  That's important!  I currently don't like mine anymore.  She is good, but she doesn't have a nice attitude with me.  I think she is frustrated and doesn't know what else to do than put me through pain.  I know she doesn't like doing that, but she thinks she has to right now. 

I am happy about my apt today, but also not happy about the decision I have to make with leaving my current OS and going to a new one.  I am just tired of having to deal with all of this!  I know what the right and smart decision is, but it's not as easy as it sounds since I have been going to my current OS office for 3 years now.  I know everyone and know how to work the system.  I like how my PT is right there in the OS clinic so they can communicate at any time.  Anyway, walking is more important to me, so I will make the right decision, it will just be difficult saying goodbye to some of those people. 

Well I hope you feel better quickly!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on June 04, 2008, 04:07:27 AM
Hi Joanne,

Glad to hear you are making some progress.

You had a lot of work done on your knee, so not surprising you still have a lot of swelling. Keep up the icing and ankle pumps too.

Most of my swelling has gone, but still on crutches as it hasn't totally gone. Will be on crutches for at least another 2 weeks.

It's great you have a wonderful physio and works closely with your OS. I start physio in just under 2 weeks. What joy, not !!!

Keep up the good work !!  :D
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 04, 2008, 09:38:05 PM
sorry not been about today. Knee shin ankle foot still huge. A lot of tension in the knee I even took the brace off and wanted to bend but fear stops me. Just a bit fed up and angry- I now feel so cross at the first OS leaving me like this for a year and my pt saying this could be slow as my knee is starting from a negative.

Sorry some of you have so much more than me I am just being selfish here. Ignore me I will be better by tomorrow.

Hope you are all ok
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on June 04, 2008, 09:54:04 PM
Joanne, it's okay to have ups and downs!!  You will be emotional now and then until you see lots of progress!  I understand and have experienced it myself :)  I would tell you to be patient, but that's not easy!  We want our knees fixed now!  I am sorry you are struggling with the swelling.  Just keep icing and don't worry for now.  It will get better.  My knee looked like a grapefruit for about 2 months!  I never cared though.  I just kept doing what I was suppose to.

As for people being worse off...don't compare!!!  You are in pain and struggling and that's tough no matter who you are or what other people are dealing with.  This is a struggle for you as it would be anybody else in your brace :) Just think about yourself and vent on here all you need to!  It's important to get it out to people who understand and can support you when you need it.  I am here if you ever need anything. I hope your emotions get better tomorrow...it's hard to not be happy while stuck around the house helpless...it will all improve once you start regaining strength and control!  Have a good night!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on June 05, 2008, 06:45:09 AM
Hi Joanne,

Sorry to hear you are struggling with pain. I agree with Farrah, don't compare with others it has been a big surgery for you, especially since the last surgeon didn't fix it properly.

We all have our ups and downs. Today I also had a bit of a scare. Check out my post-op diary.

My swelling still hasn't gone down sufficiently to get off crutches. Very frustrating as I was only on them for a couple of days last time. My sports physician said it was a much bigger surgery.

Chin up, it can only get better !!!  :D
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 05, 2008, 09:55:00 AM
Hi Joanne,
hey dont worry - Im at a negative too!!! We will get there!!

dont compare to other people, the only person you can compare to is the person who was in the same position as you for the same length of time who had the same surgery - and she doesnt exist!! So just worry about yourself - you can only do as well as you can do!!!

some of us are worse off than others im sure but we all have real issues that we need to air and get support for - it doesnt matter if youre upset because you have a tiny pain in your knee or a grapefruit sized knee, those feelings are just as important as anyone elses.
xx
Title: Re: Patella stabilisation post op diary
Post by: Beda on June 05, 2008, 10:34:34 AM
Hi Joanne! Just a word or two of encouragement. It doesnt matter what other people say or HOW others were, this has been YOUR surgery and is a BIG DEAL for YOU!! No two people are the same, and everyones pain threshold is different, and the rate at which you swell up is different as well, for you, all depending on how much you have your leg down, how much you use it, how much PT your doing, yes, theres thousands of factors thats in it, so dont be dicouraged. Your body will heal that knee in its own good time, and that is personal to YOU. The only guidelines you get from others are only averages. Your knee might or might not meet the average. So dont be discouraged, you WILL get better, all in YOUR OWN time, just let your body take as long as it takes, and dont be impatient, it'll come!!
have courage - and faith - love
Beda xx
Title: Re: Patella stabilisation post op diary
Post by: kathat on June 05, 2008, 02:03:46 PM
Hey Joanne,

Don't worry about having a whine - where would we all be if we couldn't whine on a regular basis. I haven't even had my surgery yet and I've done plenty of whining and had myself a pity party or two. You are completely entitled to complain about things that aren't going right. Your surgery and recovery is a big event in your life and you are entitled to want things to go well, and have every right to feel frustrated when things don't feel like they're going as you'd hoped they would.

I hope things have improved somewhat for you since you last posted here. If not then have a vent and get it out of your system. We all understand.

Chin up and take care.

Kathy xx
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on June 05, 2008, 05:23:24 PM
Joanne, I hope you are feeling better emotionally today!!  I also hope the swelling has improved for you not to worry about it too much :)  Let me know if you need anything!!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 06, 2008, 02:45:42 PM
Hi guys

Still just a bit down, but it will pass I know it will. i'm sorry if I am neglecting you all but I would rather be a positive poster on your threads cause you guys need that too !

Knee huge..shin huge...ankle...what ankle it looks like a sausage dog.

Anyhow wound healing apart from one end which is still open but open full depth, its just a black hole really as it is not that big but goes right down.

I will post later on once I've shaken myself and got in a more +ve frame of mind.
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 06, 2008, 08:07:36 PM
Hi Joanne,
Im a bit unexpectedly sore this evening, I might have exercised a little too vigorously after work - I used my e-stim and turned it up kinda high, but I like just lying there letting the exercise happen around me!!!

You will be pleased to hear I have Rocky in the dvd player, time for a gawk at Slyvesters VMOs before mine gets the shock of its life at physio on Tuesday. I suggest you watch it soon if you can too - the feel good aspect is unbeatable!!! Not to mention the bod on Rocky :)

Well sausage dog ankle sounds weird, you should join a travelling fare and charge money for the amazing giant ankle view!!!

I did think of something for your swelling, eat celery (yuck!!) but its supposed to be great for fluid retention so might help all that fluid down low in your leg?

Stop looking down The Black Hole of Calcutta - you never know whats hiding down there!!! Could be a bunch of harsh PTs waiting to jump out at you!! You dont want that!!! I take it your wound decided it was too much fun to close the door completely yet, dont worry, it will - it just doesnt like having to seal up and be quiet. Bu its hard to argue when one end is closed up so it will all go quietly soon enough. But its normal - think how long a tiny cut takes to heal up, I was treating the worlds smallest wart on my finger recently and after the wart removal stuff had eaten a hole in my finger it took 2 months - i kid you not, 2 months for it to heal up!! And it was tiny!!!

Hows your dad doing by the way?
xx
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on June 07, 2008, 04:05:35 AM
Hi Joanne,

Don't worry, it will get better. Just a frustrating stage you're at. I am pretty frustrated that I can't do much at the moment, but just have to be patient. I wish my swelling would go down more too.

Have you been icing your ankle ? That could really help.

I hope you start feeling better soon.

Have a good weekend !!!  :D

Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 09, 2008, 06:03:32 PM
Hi guys

Well my knee is throbbing a bit. The end bit that is still a wee hole bled a bit again and when the cold air hits it it throbs a bit more, but I think its ok.
I am still very swollen from knee down to foot. I cant get any shoes on which is fun. I usually have thin legs and tiny ankles so they are now a bit concerned by the volume my leg has gained.

Anyhow I see my PT again tomorrow so will have a better update for you then.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 10, 2008, 06:01:39 PM
Well I went to PT today and he said my leg is huge.
They werent happy with it as it was still tender in places and especially over the patella. The incision still bleeds and is wet at one end and they dont know if its the swelling.

They used some machine with suction cups that sends pin and needles through your leg. They done that for 15 minutes and then tried for bending, he puts his hand underneath my knee and gently bounces is the best way of describing it. Actively - me doing it I get about twenty three degrees, I guess when he lifts etc I get nearer 30 degrees.

They also changed my brace today, I say they as he got another PT and then another one to look and they were feeling my calf in case of clots as seriously my lower leg compared to my other leg is huge. My ankle has restricted movement due to the swelling.

Then they went to the wards and got me lovely black surgical stocking to wear. They now have this brace which is locked at 10 degrees on a hinge at the knee with 4 lots of velcro starpping from lower shin, then mid shin below my knee, just above my knee and then thigh. All strapped, its much more cumbersome than my other brace but they hope that with this one exposing my knee more than the black one the swelling may go down.

They say my lower leg is swollen as the calf muscle acts as the pump to push fluids back up, as it has limited bend at the knee and no heel toie action when walking its not really pumping. I have a rubber band that I am to put round my foot and try and pull my foot back towards me to try and do ankle pumps.

They also gave me a tens machine to use to try and de-sensitise the area in the hope we can push on through the pain barrier somehow. I am unsure quite how it helps other than when you have it on.
I have pain going up into the VMO area that is so tender to touch, I have pain from the patella going down into my shin and over the top of my patella near the incision is very sensitive. Obviously the area where the medial tissue they re-attached is tender but surprisingly the other areas more.

After all this when I got home I sat down, and felt intense burning near the incision, really stingy. I stood up and saw blood running down my leg, active bleeding and not just oozing and then I got a blood clot out. It has since stopped, I spoke to the PT and they think all the work today has maybe just unsettled things a bit and to rest and ice. There was talk of speaking to the OS but nothing definitive so I left that to them, as any apts they send me back to him for I have to pay for. So if I dont need them, I am happy to keep going.

If anyone has any input or experience in all this I would be pleased to hear it.
Title: Re: Patella stabilisation post op diary
Post by: WorkinWings on June 10, 2008, 07:07:32 PM
Hi Joanne,

Thank you for the sweet note you left me a few days back!  Sorry--I've been trying to catch up on posts, but haven't managed to do a very good job of it yet...

Yikes!  I am sorry to say this, but what you're describing doesn't sound good at all! Can you call your doctor's office and at least get his opinion over the phone?  It would make ME feel a lot better knowing that he has been informed of what is going on with you...  I don't think it's time to be minimizing it... Blood clots?  If he tells you there is no need to worry, then at least I won't worry any more!   :o

Hope you can talk to the man!  And sure hope you feel better soon!

Thinking of you!

Hugs,

Angela

Title: Re: Patella stabilisation post op diary
Post by: Beda on June 10, 2008, 07:31:17 PM
Hi Joanne. You know, lymphatic drainage can take a long time when your as swollen as you are. i think they are right in getting you to do ankle pumps. I know this sounds rediculous, but when mine was swollen, it had a huge reserve of excess blood and lymphatic fluid behind the wound and took AGES before it all came out and drained away, but one thng they told me was to lie on the bed with my legs up the wall!! So you feel everything drain down. it sounds pretty weird, but it does make a difference. Try do that several times a day, read a book or listen to some music whilst your doing it, and if the swelling is lymphatic fluid it will go down. I do hope you dont have an infection, but it doesnt sound like it if clear blood is coming out.
I feel for you, hope that soon things will take a turn for the good,
Lots of Love, Beda xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 10, 2008, 07:36:52 PM
 :-* thanks for your replies. Dont worry Angela I have been offline for a few days. Beda thanks for the advice.

It was active bright red blood  this afternoon, thick and then running down my leg, which now is a bit more watery and just small amounts as the hole is tiny. Its just all very tender but I dont think its infected.

I go back next Monday to see PT so we will go from there I guess. The PT said if I have any probs to ring him. Angela over here you dont really ring the OS direct or his office, its always through someone else as they have to refer you to see a consultant.
Title: Re: Patella stabilisation post op diary
Post by: Beda on June 10, 2008, 07:55:28 PM
Mmm, sounds like you have a sinus there. thats when theres a collection of blood/fluid in a space behind the wound, and it needs to get out, and thats the reason for the swelling. Its important that hole doesnt close up just yet, if theres fluid behind there, it needs a way out. sounds like your body is reacting healthy by not letting the wound heal. It isnt serious, just very inconveniet and irritating, and can be painfull when the skin is stretched to it s limits.
Hope you get some peace tonight.
Love beda xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 11, 2008, 08:52:12 AM
Thanks Beda, I appreciate the input.

I woke up the morning and touched my knee and all of a sudden all this yellow stuff popped out. Its thickish yellow, brown, but after about an hour on my feet wiping the thick stuff away its just thin watery fluid with specks of yellow coming out. Really not much now.

The hard thing is, the hole is only a few mm but it goes down so I dont know how much - if anything is left in there. It may all have popped out. The knee isnt any bigger, its not red and not any warmer so it cant be infected. Maybe its exactly what you said Beda and the bleeding yesterday let it come to the surface.

Sorry if anyone is at their breakfast :)
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 11, 2008, 09:04:02 AM
Hi Joanne,
ok - I think Beda is correct about the body leaving a hole open for drainage, but I do not like the sound of the yellow stuff coming out - how much was there? A teaspoon? A tablespoon? More? Did it smell bad? You might not have a full leg infection in terms of leg getting warm etc...but you could have had some kind of infected site in there that burst or something (like a cyst or some small area that just filled up)?
One way or the other, clear bood, ok - but a lot of it, not so good, blood clot - not great but still ok, but yellow stuff - call your PT or OSs rooms (or get PT to call OS rooms) because yellow stuff is not what you want to see coming out of a wound. Just call and ask about it - it may be fine, and just what you needed, or they may want to give you a short course of antibiotics to clear up whatever it is.
The legs up on the wall thing really works - I did it when I had a fat ankle 2 days after my scope, I just lay back, fergal packed loads of pillows and cushions under my legs and i rested my feet on the wall and listened to my ipod for a couple of hours while pumping my ankle every few minutes. It helps.
Now go call the PTs place and tell them about the yellow stuff, get graphic, tell them how much, how it smelled, how long it drained for etc....
The fact its been so swollen is an indication that something is going on, and the sudden expulsion of blood and yellow stuff is actually a good sign - but still one to get checked out. But dont worry, if it was a serious infection youd feel feverish and ill etc... its probably just one little localised spot.
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 11, 2008, 09:15:57 AM
Thanks Tanya

I dont think it was that much. It was so sticky that it didnt run or anything. Less than a tea spoon I would imagine and now nothing is really coming out. When you touch it, its just cloudy fluid now so i think its ok.

How are you doing ?
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 11, 2008, 09:21:28 AM
Hi Joanne,
Id still ring and report that drainage to PT. Just see what they say. Even if it was only a little its still worth checking it.
If you press round the edges is it only cloudy fluid now? Either blood or clear fluid is perfectly alright, cloudy fluid could be the remainder of whatever needed to drain. But you should ask in case its drained and is now in there filling merrily again.

Im good - my PT experience is over on my diary - GO GO SLYVMO!!!
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 11, 2008, 10:04:26 AM
Yay Tanya  Slyvmo is on the go again

Will ring later when my PT comes in.

Will go read your diary :)
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on June 11, 2008, 05:29:20 PM
Bad idea eating lunch while reading these last few posts :)  Haha!!! 

Joanne, I hope it all settles for you.  Keep us posted on what the PT says.  How has your pain been?  Do you like this new brace they gave you?  Is there a name on it?  What type?  Well keep us posted!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Beda on June 11, 2008, 06:42:11 PM
Tanya is right, as long as the fluid is clear straw coloured and clean blood, or watery blood, then no worries. But I dont like the sound of it being cloudy. You could have a very superfical local infection, but whatever it is, it needs treating, and by now with a wound like yours, if I were an OS I'd give profelactic anti-biotics anyway, infection is too serious to mess with. But it sounds like your fighting it, but maybe need a bit of biological help to clean up the wound. Hows the swelling?? Dont try to close that hole, it needs to be open to drain the bad stuff away. keep it covered though, and it might be an  idea to keep it dry when you shower, if you shower?? Maybe you sponge down??
Hope it gets better now theres gone a 'hole on the boil' so to speak.
Lots of love and support,
Beda xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 11, 2008, 10:07:39 PM
Quote
You could have a very superfical local infection, but whatever it is, it needs treating, and by now with a wound like yours, if I were an OS I'd give profelactic anti-biotics anyway, infection is too serious to mess with. But it sounds like your fighting it, but maybe need a bit of biological help to clean up the wound.

Beda, what are those antibiotics.

Its been ok today and then in laws came so I did ring but said I'd ring back as my PT wasnt iin when I phoned. Nothing more to report other than my knee is big, shin is down :) but knee is huge. It looks twisted off to the medial side but I guess that would be expected. Anyhow will let you know what happens.

Thanks so much for all your advice and input...you are the best :)
Title: Re: Patella stabilisation post op diary
Post by: Beda on June 12, 2008, 08:24:27 AM
Hi Joanne. I dont know which anti-biotic your OS would choose, but when you say profelactic antibiotics the  prefelactic means giving something as a cover just in case there comes an infection, or if you dont know theres an infection. It just to make sure your covered. I know that when I had to have anti-biotics for my leg I had to have them for 3 months and they were called CEFELAX, but theres tons of anit-biotics out there for them to use. They will most lkely choose one thats good for boney infections or anærobic infections. Anærobic infections are found deep down in the tissue where the bacteria dosnt need oxygen or air of any sort to muliply. This is the kind of infection you can get in an operation site. Most bactieria need oxygen to survive, but anærobic bacteria doesnt. The anærobic bacteria causes deep-seated infections and as a rule the pus cant come out and it gets very swollen and you get feverish and sick. I think you need to get a doc to look at your leg, a PT isnt enough because a PT cant prescibe medicine.I do hope that if you DO have an infection, that its just a superficial one and not coming from the bone. Glad to hear some of the swelling has gone dwon. Does your knee throb, and is it warm?? Do you have  a fever?
Hope to hear from you,
Love Beda xx
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 12, 2008, 08:49:57 AM
Hi Joanne,
How is your leg today? Did you get anyone to have a look at it or did PT call back or anything?
Are you still as swollen? Any more excretions from the wound?
Beda is right, you may well need some antibiotics to be on the safe side, infection possibility should always be looked into, you dont want to mess with it. Its quite possible your body is taking care of it but to be on the safe side have it investigated by a doctor?
xx
Tanya
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on June 12, 2008, 08:52:20 AM
Hi Joanne,

I think you need to contact your OS about your oozing. Doesn't sound good.

PT is not going to be able to do anything, so ring your OS.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 12, 2008, 08:55:36 AM
My knee is always slightly warm but not red. It throbs at timnes but only localised areas and not all the time. The little hole which has not closed the edges look very pale whitey pink, almost white as you look into it. I mean its only maybe 2 -3 mm open but I know its open way down as I was using a sterile tiny swab to clean it when the yellow stuff was coming out and it could go down over 1cm. But its not red and doesnt look infected, certainly the stuff yesterday wasnt good as it really horrid yellowy brown thick goo, but since then nothing like that. Its watery with blood sometimes and a bit cloudy but nothing untoward.

Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 12, 2008, 08:58:19 AM
I think it is ok guys. I cant ring my OS I need to go via my GP or PT and I feel a bit of a fraud as its a tiny hole with just droplets coming out now. I think I will wait another day as surely if it was infection the skin woud have reddened up by now. I dont want them to tell me I am over reacting. If the wound was getting bigger I'd worry. I think its just a wee pocket now in the scar area under the skin.

Do you really think I should phone my GP ?
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on June 12, 2008, 08:59:49 AM
Yes, definitely ring your GP. Better to get these things checked out rather than have complications.
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 12, 2008, 09:38:54 AM
Yes, definitely ring your GP, better to get these things checked out and be glad it was a big nothing rather than ignore it and wish you had had it looked at when you needed to!!!!!!!!!
Title: Re: Patella stabilisation post op diary
Post by: Beda on June 12, 2008, 09:40:27 AM
Yes, one visit to the doctors to many is better than one visit not enough!! I'm sure the doctor wont think your over-reacting, tell him about the horrible stuff that came out. I think now your wound has probably managed the infection on its own, but its imporatant that the wound heals up from the bottom and out, so that you dont get a sinus, which is a pocket if you like that can be either serile or mostly have infection in it. Dont poke anything down in that hole, thats not wise. if it needs cleaning, just run a shower over it and let the water rinse it off. You may be disturbing the fragile granulation process if you poke something down here. if theres something that can come out  on its own, it'll do it. After you've showered it, pat it dry and put a dry sterile dressing on it.
Love Beda xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 12, 2008, 01:24:53 PM
Sorry I havent replied on all your threads. I took your advice and phoned my PT - he is going to speak to my OS but told me to phone my GP and ask for a general cover antibiotic. He said it could explain the pain and swelling .

So I have spent ages phoning my GP and finally they will get me a prescription. Hubbie will hopefully get it for me tomorrow and I assume if any issues my PT will ring me back once he speaks to the OS tomorrow.

Gotta go help my wee one. WIll read and post to you all individually tonight.

Thanks so much for caring and taking the time and trouble to reply :-*
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 12, 2008, 01:29:59 PM
Well done Joanne, that was definitely the right thing to do. You may find an enormous difference with pain an swelling once an anti biotic kicks in, you will know within 48 hours of starting it if its changing things.
Im glad you did that, I didnt want to alarm you but infections are not good and any yellow stuff is worth a GP call!!
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 12, 2008, 08:25:48 PM
thanks tanya. I took photos which I will post tomorrow but I think they make it look worse than what it is. I also have a pinkish colour starting round the wound and its a bit sore but I am thinking maybe I am looking for it now.
thanks so much for the help. I should get the antibiotics tomorrow once Hubbie can collect them. My youngest has a high temperature so I can't stay online tonight. My pt gave me his mobile in case I needed anything out of hours or was concerned as over here gps dont do out of hours you go to ER.

Anyhow he is going to speak to the OS tomorrow and if anything changes I guess they will ring me or I will ring them.

Thanks tanya :0)
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 13, 2008, 09:03:46 AM
Hi Joanne,
I know exactly what you mean, once you suspect anything wrong every little thing becomes a cause for further suspicision!!!

Im glad your getting your anti biotics today, they will take no time to kick in, by monday you should see a difference. You got it early anyway, didnt wait til you had a big red hot leg!! These things can fester unknown for a bit. You might get a major difference in swelling if the anti biotics clear out whatever is in there.

Thats really nice of your PT to give his number. Its the same here, A&E out of hours - or they have an 'out of hours' emergency doc to do house calls but youd be waiting for hours and itd be dead expensive to get him to call.

Let us know how you get on, and post those pics later, love a good gory pic :)

Hope youre feeling ok, dont be worrying about stuff, its all grand, you did the right thing.
xx

Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on June 13, 2008, 10:46:02 AM
Joanne, I don't know much about infections, but I am glad you got the antibiotics.  Hopefully your swelling and such will improve with those meds.  I hope you made sure that mixing that with any other meds you are on is okay.  I know some meds can't be taken with anti-biotics.  Being on 6 medications now, I always double or triple check that I am not mixing anything wrong.  It sucks to get sick from mixing meds! 

It's nice that your PT gave you his personal number.  It sounds like you are in great hands with him...seems like he really cares! 

Let us know how the call between PT and OS goes. 

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on June 13, 2008, 01:06:37 PM
Hi Joanne,

Glad you got on to the PT and GP. Good luck with it all. Am sure you will start feeling better once you start taking some anti biotics.

Let us know what PT and OS say.

I saw my OS today and he's very pleased with outcome so far. He's not getting too excited just yet. Can start PT, which starts on Tuesday. Have posted over on my diary.

Have a good weekend !!!  :D
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 13, 2008, 02:52:06 PM
Hi guys

Well the redness went down a bit overnight but is back when I'm on my feet. Oh I'm not sure really. What I do notice is when I walk I have pain running from the medial side round into the back of my knee and also in an up and down feeling at the medial side but tilting in to the back of my knee. Does that make sense. It is obviously ligaments or something as its more prounounced at the same point each time I take a step so something is pulling or something.

Wound bled a bit again, bright red blood but stops once I take a tissue too it and sit a bit like gloop on the top of the wound. Seriously this is the most pesky 3 mm hole I have ever had !

PT phoned me this morning. I said to him you seem more worried than me. he said he would speak to my OS today at lunchtime sometime so I assume if they feel there is any urgency they will ring but I doubt it. I see my PT Monday evening anyway.

This weekend I have my 2 girls dance rehearsal all afternoon SUnday which I am helping at 1-5pm  so it will be fun if my knee behaves.

Hope you all are ok
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 14, 2008, 09:11:01 AM
My friend took me to see SATC last night :)

It was good, leg was very stiff afterwards, well I still sat at the end seat so I could stick my leg out anyway.

Hope you guys are good. I am ok. Knee I still thinks looks ok but is hot....but then it always has been since the op.

Will upload my photos later
Title: Re: Patella stabilisation post op diary
Post by: Beda on June 14, 2008, 09:24:25 AM
Joanne, so glad to hear you got out to go to the cinema, that makes a welcome break, doesnt it. I also have a HT knee, and have had for years and years. it never cools down. I aksed my current OS why, and he said it was just because of the fact that an operation has disturbed the normal tissues, so I dont think you need to worry too much about it. Now your getting anti-biotics, the infection, if any, will get attention. the antibiotics take 24 hours to kick in, and you must take the whole course, dont stop half way because you think its all better!!Take each and every one. I really hope this works for you, and that your knee will soon begin to look a bit more normal!! Hows about the pain at the moment??
Keep posting Love Beda xx
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on June 14, 2008, 09:32:09 AM
Hi Joanne,

Glad you got out last night. Must have felt good. I went out locally with a girlfriend for a glass of wine at a bar. Just nice to get out. Tonight I am staying indoors as I'm a bit sore after going out for lunch with a friend.

I hope the infection clears up soon.

Have a good rest of the weekend.  8)
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 14, 2008, 10:32:14 AM
Hi Joanne,
delighted to hear you got out to the cinema - well done!!!
Hows the swelling today - have you started on the antibiotics? If so is there any change?
xx
Title: Re: Patella stabilisation post op diary
Post by: WorkinWings on June 15, 2008, 11:43:59 AM
Hi Joanne!

How are you, today?  Bet you are off to your girls' recital right about this time.  I hope your knee cooperates so that you can enjoy the show and are able to beam with the pride you must certainly feel for them!   :D  How old are they?

I'm still worried about that infection of yours, sweetie...  :-[  I hope that you are able to speak to DocAdonis himself, or that someone does...  And soon! 

I really don't mean to scare you, that's not my intention at all!  It's just that...Ok--I have to say this--I've read about some nasty resistant bacterial strains that have troubled knee replacement surgery patients, lately.  I know that's not the op you had, but the point is that these things can get serious, and so I don't think it's time to be minimizing anything.  If your PT seems more concerned than you are, maybe it's because he should be.  Don't try to dissuade him from taking the most cautious course of action, here...  OK?

Thinking of you!

Angela
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 15, 2008, 07:29:10 PM
Hi guys

 ::) Well I'm starting to think maybe I should worry. The part of the wound that was leaking isnt. It has sort of sealed but the wound line is pure white, the area around it is raised and the wound area a purple colour with the surrounding knee area becoming increasingly red and hot. The area all in all  that is red is about 3 cm by 3cm  patch I think but it sort of nips and stings. I cant bear anything touching it at times, it seems to be really sensitive and I am worried about what they will do, the thought of anyone sticking anythign into that area I would hit them ...seriously before I would let them stick a needle in there. I hope the antibiotics take it down.

Please tell me what you think they will do. I go to see my PT tomorrow and I am so scared they will send me round to the clinic and someone sticks something in it.
I am jiggered tonight, been at my daughters dance rehearsals all day as I am stage manager and been on my feet a lot. Bit worried now but probably over reacting. ANother day on the antibiotics should do the trick.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 15, 2008, 08:46:08 PM
 :o eek !

The wound with the white line has opened - or it must have in an area that was closed as yellow goo is leaking from it. Sorry guys I know this is gross.
Is this a good sign that it is now coming out, maybe this means the antibiotics are working.

Can you help me on this one ?
Title: Re: Patella stabilisation post op diary
Post by: WorkinWings on June 15, 2008, 08:50:46 PM
Joanne,

Please: can you contact your doctor's emergency number?  Any doctor's emergency number?  Go to the emergency room...  You do have to do something.  Please.  I hope it is a "simple" infection, but when there is any infection in the knee joint, it HAS to be taken very seriously.

Please take care.  Good LUCK!  And please keep us posted.

LOVE,

Angela
Title: Re: Patella stabilisation post op diary
Post by: KW on June 16, 2008, 12:15:13 AM
Joanne,  Please get in contact with a Dr tonight.  Don't ignore this...It can get very bad...very fast.  You don't want to play games and assume that the meds are working.

Take Care,
Karen
Title: Re: Patella stabilisation post op diary
Post by: Beda on June 16, 2008, 08:20:03 AM
Joanne. This sounds very much like you have an infection going on in there, and its important you get it treated ASAP. if the infection comes from the bone it is very serious. Hopefully its a soft tissue infection, but you mustnt fool around with these things. Its true, they can get very serious very quickly. Your anti biotics may not be the right antibiotics, if the bacteria are resistent to the type of bacteria thats in you wound then they wont work. You need to have some other antibiotics. BUT antibitics can take up to 48 hours before they kick in, so you might just need to be patient. its GOOD that the yellow stuff is coming out, better out than in. But get yourslef seen to. I doubt they'll stick anything into you, they'll ry antibiotics first I'm sure.
be good with yourself and GO TO THE DRS!!
Love beda xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 16, 2008, 08:44:20 AM
Ok I think the panic is over. It weeped all night and this morning its bleeding active red so that will clear it out I assume. The bright red is down now, its receeded a bit as I drew a line round it. There are 2 small areas open now but they  are both bleeding so I have cleaned and dressed it and see my PT tonight, its at the hospital so if there are any probs I am there.

However its not as sore, the ressure has eased as its just bled out I think.

Thanks so much for your help :) I will let you know what they say today. Def not a bone infection as I would have known by now I'm sure :)
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 16, 2008, 09:19:42 AM
Hi Joanne,
I had a feeling once you started on the antibiotics you would get a big drain alright. Its much better out than in!!!!
When you see PT tonight let them examine it and they will determine if you need any more attention to it beyond antibiotics.
Very clever to draw the line round the red area!!! Just keep an eye on it - if its bleeding ordinary red blood then thats a good sign. Id be inclined to think you might need it cleaned and dressed by doctor/hospital if it has opened up a bit (after its finished draining etc...) - but PT will know that.
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 16, 2008, 12:45:10 PM
The thing is the area that has opened is mm but the tender areas spread over and around the knee cap, so the area that is open you couldnt clean out as its just not big enough.

Here are some photos, the shiny areas are still purple but compared to the firey red colour my knee was last night its better. It has bled and weeped a fair bit. It was yellowy brown and now blood streaked with other stuff.

Gory photos !!!!!!!!!

If you dont like blood chage threads now !!!!!!!!






















Photos - I dont think its too bad now at all.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 16, 2008, 01:45:49 PM
and another
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 16, 2008, 03:35:03 PM
Ok its a bit more gruseome now. The skin has kind of bubbled at the new opened area and is a bit mushy round the edges. I have to see my PT tonight who is going to get the OS in if required. :P I said ok but noone can stick anything in it, he laughed and said we'll see. I laughed and said well seriously Iain noone sticks anything in it...its way too tender ; :-\

So I will be in touch later on....wish me luck !
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 16, 2008, 03:42:16 PM
Great pics!!!
I think your OS will definitely be taking a look at that!!! yum yum - ask him to lick it clean :)

Good luck tonight!!! You'll be fine, Im so glad a professional is looking at the wound - better be safe than sorry and all that.
xx
Title: Re: Patella stabilisation post op diary
Post by: WorkinWings on June 16, 2008, 04:20:29 PM
Hello Joanne,

I left you a very friendly message over at Tanya's place...   :P

Love--and much concern,

Angela
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on June 16, 2008, 08:59:35 PM
Joanne, let us know how you are doing!!  I hope it all got cleaned up!!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: KW on June 16, 2008, 10:16:48 PM
OK Girl...Your OS needs to see that and truth be told...If it needs to be stuck then it will be.. Get over it!!! (hehe... just kidding  ;D)..You don't want to mess with a infection.  I was at a all day meeting today and one of the topics was different infections (it was a safety meeting) and I don't want your leg to look like one of the pics I saw.

Take care and let us know what happens!
Karen 
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 17, 2008, 09:12:44 AM
Hi Joanne,
Hows the leg today? Did you see the OS last night? Hope its feeling better and not so gooey.
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 17, 2008, 09:57:21 AM
Saw my PT last night and he brought the OS in. The LAST thing they would want to do at this stage was stick anything in it he said !!!!!!! So he said my reaction was just fine and that the area was tender due to cellulitis and as I'm on antibiotics and the wound has opened the nurse  would clean the surface and let the body clean the sinus out itself. That prodding and poking in it at present could just make it worse dispersing the infection more and that he was not concerned at this stage. He said it was more annoying and painful for me to go through but felt the antibiotics should tackle it. It was not a joint infection so nothing serious or anything to worry about.

Thus I am fine about it and quite happy with my decision not to want anything stuck in it. Let me clarify and the nurse agreed...had they needed to clean it out, they would have had to re-open the whole wound as it is not a wide wound but deep wound. It looks like 2 puncture wounds where the opening is and so cleaning it out without opening would not really be possible, not if they were worried about the infection in other areas under the wound.  Thus if that had to happen I think its only understandable I was not having that done without pain relief. Its sore enough and whether you think I am a weakling or not thats my call. I am happy to say yes ok, I may not be as tough as some may think I should be-  but thats just me. Its my nature through and through I am a gentle and quiet person and I guess with a pain tolerance to match.  I had my last baby without any pain relief  - not the plan I had chosenand and would do that again before allowing anyone to stick something in that would to cut it open without some pain relief.

So I truly appreciate the concern, I really do, but I can only be me and handle things the way I do.
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 17, 2008, 10:11:44 AM
Hi Joanne,
Glad the OS had a look at it.
Im sure once the antibiotic kills off the infection the body will just do its thing and seal up - its amazing how it left an open part before - it knew not to close in an infection eh?
I never meant anyone should clean out whole wound, just clean around outside - I would never be in favour of sticking anything into wounds cos its unnecessary and can spread infection around!! So long as tissue is not dying off on edges all you need to do is wipe down the outside and leave the body to it.
Itll heal once the infection is gone. Are you still as swollen?
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 17, 2008, 10:24:50 AM
Thanks Tanya  :-* I'm not in favour of anyone sticking anything in it either, but thats cause its my knee   :P
The wound is still open and when you perr in the abyss its brown murky with blood so its probably just taking its time to get rid of everything.
The knee is still as swollen but my lower leg has reduced which they were really pleased about. Ironically it eased up after the first time the wound burst with the blood clots and goo and after that my lower leg seemed to return to a more normal size overnight. Its not normal as yet but much better thanks.

Last night I was more worried about anyone making it any sorer I really didnt appreciate seeing the OS. He was charming as ever but all I was worried about was my knee. The body is an amazing thing really, its seems to know what its doing. They did give me some padded dressings I can use this Friday and SUnday at the dance shows when I have all my running....HAHAHA that would be good...Hopping about to get kids on stage. It will be on my feet for about 5 hours I'm sure. However at least I have Saturday to to rest before we do it again Sunday.

Last night I had 10 degrees bend.....I have a LONG way to go !!!! I'm just a bit down today, do you ever get days like that ? I have no reason to be but I am.
Anyhow gotta go and start getting costumes organised. My youngest has her first ballet tutu...it brings tears to my eyes she is so cute in it.
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 17, 2008, 10:46:15 AM
Hi Joanne,
the body totally knows what to do - it will just eject any gunk that shouldnt be in there before it heals up. All you need do is keep the outside clean and make sure no dirt gets a chance to settle on the outside.
Thats good swelling is reducing, thats the body doing its thing!!

Are you still on crutches?

I felt down yesterday, specially after physio so so hard, coming home and my leg aching, I just felt like I wanted to curl up in a ball somewhere, a friend called in and was wasnt feeling a bit sociable. There are going to be days like that, its cos theres no break, its just relentless, if you could have a day off, no pain, no weakness, etc then youd be grand, but cos there is no break it gets in on the mind sometimes.

The ballet tutu sounds soooo cute :)

How long more do you have to take the antibiotics for?
xx


Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 17, 2008, 11:20:26 AM
3 more days Tanya

Sorry you felt like that yesterday too. Its tough at times being sociable because others forget. Every night I am so tired because its hard work walking without bending etc and for you rehbbing your leg will be doing new things and the muscles will ache.

Hope today is easier
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 17, 2008, 11:47:17 AM
it gets so you start measuring progress weekly instead of daily too - so you feel like nothing changes day to day, then on monday you look back at last week and bingo - there was progress!!!

I get tired easily right now as well, suppose it is that Im doing more than before - and its hard work to me. I think for me with the formal physio on a Monday I spent monday and tuesday sore and tired and it starts improving on wednesday - by the weekend im used to it all then back for more hard work on Monday!!



Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 17, 2008, 12:11:54 PM
Physio for me right now isnt much. They try for a bend in my knee but its so sore and tight we have never broke past 27 degrees. He puts his hand under my knee when the leg is straight and gently tries to bounce his hand up and down to bend the knee but its fine . I guess we will get there eventually. We also try for static quads but right now there is minimal muscle contraction as its still so swollen. I think the muscles are inhibited for now, but I've been there before and know once we can get all the inflammation down I can get past that again.

At times I have involuntary contractions and my knee cap jumps  (OUCH !!) so know it is  even if very painful right now.

I just keep trying at home but right now to be honest I have went back to my immobiliser brace as my knee feels more protected in it just now and I dont want anything touching it.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 18, 2008, 09:00:42 AM
Angela

there is no need for forgiveness, I love the fact you even care about me. I'm just soft by nature :-\

So please no biggie, forget about it and dont let it bother you. I am not worried and all is well and thats what matters.

I am touched you care so much  :-* :-* :-*

How are you all doing today anyway ??

My wound puncture wouds have now joined together so I maybe have a 1.5cm wound area now. It is a bit murky inside but not leaking so I think its improving. Still aches terribly but I guess it would do that.
Title: Re: Patella stabilisation post op diary
Post by: WorkinWings on June 18, 2008, 02:08:16 PM
Hi Joanne!!

Thanks for the sweet, kind note...  :-*  I was so relieved to find it here!  Too bad I had gotten more than half way through deleting related posts before I found it!   ;D  Thought I'd lost you and had been trying to reverse the past in the hopes of making things right, attempting to win you back!  LOL!  I CAN be a bit drrrramatic, don't you think?!

Hope you're better!

Love,

Angela  8)
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 18, 2008, 02:49:13 PM
Angela :-* no post is ever worth deleting, seriously, just cause of me. You make me feel embarassed now.

Looks like you are joining my club and being a big softie and worrier, trust me dont get like me. I worry over everything and have to play things down otherwise I would just worry myself up  ;D

Good luck at PT and it would take far more than that for me to ever want rid of anyone....and especially people who care so much. I am touched and deeply moved that you care to the extent you do. I should be thanking you for having such concern over me. So please, take a HUGE hug from me and know that i think I am a very lucky person to have people that care  :-*
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 18, 2008, 03:10:09 PM
Can you help me guys ?

You guys have had experience or know about these things so tell me is this it going away or do you think this is different ?

The wound has scabbed, but the area below it is redish and hot. In fact the whole area lower and going down towards the patellar tendon between the 2 scope wounds is hard. Above the wound is soft and puffy, below the wound is hard and then goes less hard as you go down towards the patellar tendon area which is very tender in that area. That could be due to the swelling though, but its strange above it seems softer and below seems harder, is that just because of the way fluid sits ? At times it can be very itchy the skin but not exactly around the wound nearer the areas where its hard and its also as if I have reduced sensation in those areas.

Its a weird bizarre thing again and my lower leg is swelling again.

Is this just what cellulitis in soft tissues does ? I have tried to google it but its says its a redness and swelling of the skin, but it doesnt have it in relation to a recent op. Just wondered
Title: Re: Patella stabilisation post op diary
Post by: Beda on June 18, 2008, 08:51:24 PM
Joanne - healing skin that has previously been inflamed and infected takes on a hard shiney deep red look, and if the scab is there,and its itchy, these are all good signs.  The puffyness is probably a bit of fluid again. You need to keep that leg UP UP UP!!!!! The lower leg swelling is almost bound to be fluid again. If it get Hot, throbs, causes a lot of pain and discomfort and starts oozing again when you have stopped the anti-biotics thats a sign that you need some more and different anitbiotics. Redness and swelling, and a minor degree of heat can be a sign of healthy healing. Theres tissues moving around when its healing up, thus increased activity and redness and heat. just imagine your body as a machine that has to make all those new good cells again, its all on the move, and thats why it itches. i dont think you should worry too much at this point, but if it gets enomormous again, THEN start to worry!!
Hope it all goes ok now, youve certainly had your share of problems!
Love Beda xx
Title: Re: Patella stabilisation post op diary
Post by: kathat on June 19, 2008, 05:03:11 AM
Hi Joanne,

Cellulitis doesn't have to be in relation to an op - any broken skin can introduce the bug that causes it. The skin goes a bit like sunburn (hot and red), and the red patches can sometimes be "streaky", or sometimes shiny - though bright red rather than dark red (as far as my experience has been). Itchiness can be common in healing skin, and also in skin with altered sensation. My numb patch on the side of my right knee itched like crazy straight after my LR surgery, but I couldn't bear the feeling of scratching it  :P It made for some very frustrating days!! I think you just need to R.I.C.E. lots and see how things pan out. If things seem to be getting worse despite the rest etc, then get it checked out. Or if you feel worse in yourself, get to your GP, as infection usually makes you feel pretty crappy once it takes hold.

Anyway, sorry if I have got the wrong end of the stick here, but I have a bit of catching up to do. I hope I have given you useful info. I hope you enjoy the dance recital. Ours is the following weekend - just as well, as I don't think I could sit through one just yet!

Take care and ((((((HUGS))))))

Kathy xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 19, 2008, 09:02:06 AM
Thanks Kathy that is useful help.

I dont quite know what is going on. I have a lot of pain down the medial side and going down towards the patellar tendon its all very tender and the area down towards the bottom of the patella is still hard and swollen. There is no itching anymore just hot areas and very hard areas. Above the wound is swollen but puffy when you press it in, below the wound is hard.

I will just see how it goes, at times it feels as if there is stinging inside under the surface of the skin.
However I am so pleased you are through all the surgery side of things and hope its onwards and upwards now.
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 19, 2008, 10:39:58 AM
Hi Joanne,
When you have swelling some of it can gather in certain areas and they feel much harder than other areas, its all where the body is concentrating the healing. Under my incision sites were quite hard initially, now theyre still a wee bit harder than the rest but ok. Its early to worry about it for you - as long as there is any swelling you do get hard spots.
The red/warm feeling is normal, you get heat when there is healing going on - so long as its not bright red and burning its ok.

How is it today? Now that your infection has cleared you should start seeing differences.
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 19, 2008, 01:02:11 PM
well it must be healing well Tanya as its all red down the bottom of the patella and very hard and this goes up to the lower side of the incision wound.

Ahhh happy days, oh to bend my leg. I got a taxi this morning to a chiropractor as my back felt all twisted. Then to our shops mainly to get my wee one out as she bless her is stuck in with me. It looked nice so I thought we could attempt to walk home, I am sore but thought maybe it would loosen things off. However it started to rain :( thankfully a friend passed in her car and pulled in and gave us a lift the rest of the way home.

I have pain when weight bearing especially on the patella but I think its all the swelling pulling or pushing really hard on the patella tendon.

However I hope it passes as tomorrow night is going to be a long one at the dance show.

How are you all doing ?
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 19, 2008, 01:43:55 PM
Hi Joanne,
sounds like its healing alright. It can take some time for the hardness to go down - I always assume its tissues stuffed full of white blood cells doing their healing work - i could be wrong but its a nice idea!!

The pain on weight bearing is exactly what you say, its just when there is inflammation in the joint you get pain in strange places cos the 'balance' in there isnt exactly right. I can push on mine in certain directions and it hurts at the front around the patella tendon, it all just takes time to settle down.

how much bend have you got now?
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 19, 2008, 03:22:03 PM
Virtually none as the knee is very swollen :(

At PT the other night when I was there about 10 degrees
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on June 19, 2008, 05:39:25 PM
Hello Joanne, You will get there!  I don't know much about your surgery or your pain, but I really wish and hope for the best for you.  I am thinking about you!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 20, 2008, 09:54:58 AM
Well I have  alot of redness and warmth and swelling (so much so that its hard) over the lower area of the patella down onto my shin where the tendon is. I have lost most of the bend...well what I had anyway. The wound is fine, still scabbed but the area below is painful, tender and hard and tenderness goes down onto the top of my shin.

Someone said to me it could be busristis, does anyone know what that is and if you think thats a possibility ?
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 20, 2008, 10:49:01 AM
Hi joanne,
Perhaps you should ring your PT and explain about the swelling? It doesnt sound like its getting any better.
I dont know what busristis is?
Warmth is ok, how red is it? Is there an obvious line where it starts?
xx
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on June 20, 2008, 01:45:51 PM
Hi Joanne,

Sorry you are still struggling.

Bursitis is an inflammation of the bursa. It could be possible, but I doubt it. You really need to get this properly diagnoses. When do you go back to your OS ?

About to go into A&E as I can't get my pain under control and didn't hear back from my OS's rooms today.

Hopefully they will be able to ring my OS.

Good luck with your recovery !!!  :D
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 21, 2008, 05:08:07 PM
Kisrty, I posted you in your diary and hope you are ok now.

I was on my feet a lot last night, I was stage manager at my wee ones dance show. It was so cute :0

I am in a lot of pain today and the swelling is more - not surprising but the hardness is ever evident and redness still there.

I go and see my PT Monday night so we will see what he thinks then.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 21, 2008, 08:24:11 PM
Hi all

I am a little worried tonight, when standing I have a lot of pain in my knee, almost stinging but that word is not accurate. I cant explain it really just pain in the front of my knee, a lot of swelling, some warmth, well maybe quite a bit and hardness over the patella and some pulling over the medial side where they done the work.

it feels better when I elevate - I just dont understand this at all.

I finished the antibiotics a few days ago. the wound looks fine but the hardness in areas and the redness .......if the wound is ok that means all should be well underneath too shouldnt it ?

I changed my PT apt to Monday night and if its as bad I will ask to see the OS.

I hope this passes and I am just worrying needlessly.
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on June 21, 2008, 10:11:22 PM
I hope this passes and I am just worrying needlessly.

I hope so too!!  Sorry I can't be more of a help.  Let us know how your PT apt goes on Monday.  I am thinking of you and wish there was more I could do.  Thanks for all your kind notes on my diary!  It really means a lot!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: kathat on June 22, 2008, 03:06:01 AM
Hi Joanne,

I wish I could be of more help!! You are obviously worried about your knee. It seems to be positive that it feels better when you elevate. It would be more worrying if it didn't. I get the "stinging" too, when I stand, and it goes when I elevate. I think it's the blood racing to fill the surgery areas. The hardness could be extra scar tissue that was laid down due to the infection you had. Is it painful to touch, or not painful, or uncomfortable? If it's not really painful to touch then you could try massaging it. If it's scar tissue then you'll see an improvement slowly over a few days.

Having the wound okay doesn't mean all is well underneath, but you should have other signs that all is not well if something is going on in the deeper tissues - which is why I am concerned about my fever. I am glad you are seeing the PT soon. You should be able to get some light shed on the situation by your PT, as they see lots of wounds in all different conditions, so should know what is good and what isn't.

Good luck!!! I am thinking of you!

Kathy
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on June 22, 2008, 03:09:52 AM
Joanne....Any sign of fever? If you would get one, I wouldnt wait till Monday. Otherwise, if it feels better elevated, then do so as much as you can. I got that stinging feeling alot too for awhile. So it could be a normal part of it all. The hardness and redness is puzzling. I wouldnt think it would be an infection if you just finished the antibiotics a few days ago. Maybe just irritation? Try not to worry too much. Like I said, if things worsen, or you get a fever, go to the ER and get it checked out. Better safe than sorry....

hugs....DONNA
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on June 22, 2008, 06:13:32 AM
Hi Joanne,

I hope you are starting to feel a bit better.

Good luck with your PT appointment tomorrow.

Let us know how you go.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 22, 2008, 02:05:25 PM
Hi guys

I think maybe I am run down. I have a chronic headache and feel sick. I have stayed in bed all day. I think the worst pain is around the wound but as I am on my feet the stinging builds up big time. The pain isnt gone completely when I elevate but it helps.

The hardness is there but very tender so there is no way I could massage it right now. I have taken some meds and stayed in bed all day yesterday really and all of today so far as I know I am gonna be on my feet tonight at my kids show. Anyway hope you are all ok.

I texted my PT and asked him if he had any cancellations tomorrow morning to let me know.
Title: Re: Patella stabilisation post op diary
Post by: KW on June 22, 2008, 03:40:14 PM
Joanne,

You did not say if you are running a fever along with feeling sick????  If your temp is elevated please call your OS or get to a Dr today....a elevated temp along with the feeling sick is not a good thing...as Donna said...Better to be safe then sorry!!!

Take Care,
Karen
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 23, 2008, 09:43:52 AM
Hi Joanne,
How are you feeling today? You need to check your temperature, you may well just be run down but if you are any way feverish you need to see a doc.
Kathy is probably right about scar tissue getting laid down and causing hard areas - could also be inflammation on the inside so some areas of tissue are just filled with fluid and feel hard.
Whats the deal with the stinging - is it like a burning sensation? Or like an electric shock feeling? Or like stinging nettles concentrated in one area?
xx
Title: Re: Patella stabilisation post op diary
Post by: kathat on June 23, 2008, 12:07:26 PM
Hi Joanne,

I think the stinging is fairly normal. I get the same thing, and it's at it's worst when I am upright. I think it's the "blood rushes" that people talk about, as I can feel it filling my shin when I first stand, and it just intensifies the longer I am on my feet. And "stinging" is the way I describe it too, for want of a better word.

It's a shame you feel sick. I was nauseous and light-headed this morning. I think it was a combination of lack of sleep (I have slept a lot, but not always every time my body wants to), the pain killers, constipation (blah!), and dehydration (it's hard to keep fluids up when you sleep a lot!). I reckon it all just caught up with me. Probably the same has happened to you, but do check your temperature, just in case, and see your GP if you don't feel better after some rest.

I hope you felt better in time for your daughter's concert. My daughter has hers next week. They do two performances on the one day. I am worried about the long day I will have, getting her ready and then watching both concerts with lunch in between. Do you get a DVD of the performance? I love looking back at old concerts, when the kids were really little. They're priceless!

I hope you feel better soon. Good luck.

Kathy
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 23, 2008, 02:19:39 PM
Well I was in pain last night and went to bed after the show. I was on my feet for the show...but it was worth it seeing my 2 wee girls dance  ;D

Anyhow this morning the pain was immense, and eventually I looked down to see a bloody goo run down my leg. I couldnt see where the split was - it was as if some part of the wound area became leaky again. Then within the hour it almost bubbled up in this soft tissuey mound oozing goo. I ended up phoning the PT, went in and he took one look at it and paged the OS and the RMO (house doctor in hospital) and nurses.

The OS is away on a course today but they are waiting for him to call in, the RMP prescribed me what I can only describe as an arsenal of antibiotics.

I take 1000mg of one 8 times a day and then a second type 4 times a day...they even talked of admitting me at one point, however I was glad to come home.

The nurses swabbed it and dressed it with some silver foam stuff and bandages and I have to go back tomorrow unless I hear from the OS first.

So my guess is it has been infected. I dont know what happens now, the PT said the OS will decide if he should go in and clean it out or not. The nurses said if the strong antibiotics work then maybe it will disperse.

So thats the new, I have to avoid weight bearing when possible and I guess the next few days will be telling. I feel as if I am run down but dont have a temperature.

They said if the pian increaseds or I get a temperature to phone immediately.
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 23, 2008, 02:50:03 PM
Joanne!!!
wow thats a shocker! Im glad you got to see your girls dance though!!

Nasty gooey oozy stuff!!! And why didnt you take a pic for me?

Im sooo glad you went and got looked at!! Hopefully the arsenal of antibiotics will do the trick. The last lot mustnt have been strong enough.

You poor thing! Make sure and eat properly now to keep your strength up even if you dont feel like it, antibiotics can make you tired and deaden your appetite.

I hope youre feeling ok.
xx
Title: Re: Patella stabilisation post op diary
Post by: kathat on June 23, 2008, 02:52:02 PM
Eeewww!! Gross!!! Poor Joanne!! It must have been a pocket of infection left over from last time. I am glad to hear it has burst open. It would have been worse if it had continued to brew away in there - keeping it contained like that is the body's way of dealing with it, but it could have caused other problems if it had burrowed inwards instead of bursting out like it did. No wonder it was sore. I really hope the antibiotics do the trick and you can soon get back on the road to recovery. In the meantime, get plenty of rest so your body has the energy to heal.

Sending you healing thoughts  ;)

Kathy
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on June 23, 2008, 05:49:08 PM
Joanne, I am so happy you are taking care of yourself and got this thing looked at!  I hope these new antibiotics do the trick for you!!  I hope that the OS calls as well!  I will keep looking for updates from you!

I am thinking about you, Joanne!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Beda on June 23, 2008, 06:05:11 PM
Joanne, It was what I suspected, a sinus of infection brewing in there. I have had the same, and they DO treat them with very strong antibiotics cos they dont want the bone to get infected. i do hope that they dont need to clean it up, but if they do, it will shorten your recovery time considerably. That is the quickest way of dealing with a bad infection, manually remove it as best can. I'm so sorry you are having to go through all this, these things can be a bugger to clean up. Wishing you all  the best for a speedy recovery, dont forget to take the pills!!
Love beda xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 24, 2008, 08:23:02 AM
guys

The OS wants me to be admitted, I have to go into hospital on IV antibiotics  :'(

They may operate tomorrow  :-\

I will try and post from my phone and will catch you all alter
Title: Re: Patella stabilisation post op diary
Post by: Beda on June 24, 2008, 08:55:49 AM
Joanne, I'm so sorry. Know that I am thinking of you and that I wish you all the best, the OS is doing the right thing here, its the best treatment you can get. I know you dont feel well, but please dont loose the faith that it WILL get better, and that you are in the best hands.
Thinking of you with love, Beda xx
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 24, 2008, 09:03:47 AM
Hi Joanne,
Im so sorry to hear youve to go back in - but hey, at least this way its going to get sorted out and you wont be wandering about wondering why its not clearing up.
I hope all goes well for you, Im thinking of you, you are in the best place.
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 24, 2008, 01:26:08 PM
Hi from hospital
they say I will be in at least 48 hours. I am getting iv antibiotics this afternoon. The os is coming tomorrow morning and will look at it and the bloodwork they are doing and decide whether they will operate or not. The nurses told me I will probably have several courses of iv antibiotics. My 6 year old was in tears at me going in and it made me cry.

I just want them to operate now and clear it out and remove the possibility of this happening again.

Thanks for your support, I am bored and lonely as I am in a room by myself. Done swabs so just waiting on the results.
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 24, 2008, 01:35:19 PM
Hi Joanne,
Well at least they are sorting it now and theyll keep an eye on it so it doesnt happen again. Hopefully they wont have to operate if the IV antibiotics do the trick.
Ask your OS if the recon will be ok cos of the infection (Im sure it will be). Also ask him if there is any chance that scar tissue may have formed cos of the infection. With a bit of luck its all just storm in a teacup and once the infection is cleaned up it will be all systems go on healing for you.
You must have a seriously high pain tolerance to have put up with that infection for so long without complaining about it!

I know its boring and crappy to have to be back in hospital but better there than home with your infection not going away eh?
xx
Title: Re: Patella stabilisation post op diary
Post by: KW on June 24, 2008, 01:49:37 PM
HI Joanne,

I'm sorry hun..At least you are in good hands and they are going to take care of this infection once and for all!!  You just lay back and let them take good care of you!

Let us know how things are going.

Karen
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on June 24, 2008, 03:19:06 PM
Joanne, I am thinking about you!  I am glad you are being taken care of and will hopefully get rid of the infection quickly!  I will definitely continue to check back on your thread for more updates.  I hope you can get some sleep in that hospital.  Watch some tv! 

Farrah
Title: Re: Patella stabilisation post op diary
Post by: kathat on June 25, 2008, 12:29:45 AM
Hi Joanne,

I am so glad they decided to give you IV antibiotics. It will get you back on track much quicker with less chance of the infection recurring. It's not nice for you though, and I hate to think of how horrible it would be for you, being in hospital away from your family. You are in my thoughts and prayers. Take care.

Kathy
Title: Re: Patella stabilisation post op diary
Post by: Beda on June 25, 2008, 08:24:21 AM
Joanne, Just to say to you that I'm thinking of you and hoping for you that the IV antibiotics do theri work quickly. Have you been running a fever?? I know that they repeat the antibiotics at regular intervals, this is to stop the infection from returning, you just have to have patience with it. At least your only looking at 48 hours in the hospital, I was in there for 6 weeks b/c of infection. I do hope they operated today so you get quick relief. Hope you dont have too much pain,
Love, Thinking of you, Beda xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 25, 2008, 09:27:28 AM
i guys
day 2 in hospital, they gave 2 different types of IV antibiotics 4 times yesterday. I had a bad night, it was sore and I felt like I was taking the flu i also was sick about 8 times through the night and they gave me meds but eventually an injection as I was so sick.

The OS came briefly this morning and had a look at the plaster and said all that drainage has come through since yesterday and I said yes and he said we will do this properly in theatre. I won't go into the joint unless I need to I think its just superficial areas involved but we will give it a clean.

I took 2 photos but can't post them off my phone so if someone can email or pm me their email address I will email you the photos for posting here.

So theatre they reckon about 4 pm today. Thanks for all your help and support
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 25, 2008, 09:31:34 AM
One other thing, sorry I am not getting round all your threads to post. Please give me updates on how you are here. Pages take ages to load on my phone and its not cause I am not thinking of you

Love to all
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 25, 2008, 10:13:02 AM
Heres some pics from Joanne:
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on June 25, 2008, 11:18:43 AM
Joanne, good luck with your surgery today!!!  You will feel better in no time now!  You are in good hands.  I am definitely going to be thinking about you while you are in surgery at 4pm! 

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on June 25, 2008, 11:42:10 AM
Hi Joanne,

I suspected you had an infection. Just wish they could have contacted the OS earlier.

Glad you are getting it treated now.

Sorry I haven't posted on your diary in the last week or so I have been really struggling since I had my car accident.

Seeing my shoulder surgeon tomorrow and knee surgeon next Wednesday. My shoulder and knee just don't feel right.

Good luck and wish you a speedy recovery !!!  :D
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 25, 2008, 12:26:51 PM
thanks tanya. Swabs came back clear nothing of interest so hopefully that means the infection is dead now and needs cleared. Dont know yet but after surgery I am sure it will be much better. Very tired and the antibiotics are so strong but hope this does the trick and I am back on track by tomorrow.

Kirsty I hope your knee is ok, dont leave it too long if you find it awful. Take care

Tanya, kathy, beda, karen, farrah thanks for all your help and support. Will try and get on before theatre lovevto all
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on June 25, 2008, 12:30:40 PM
Hi Joanne,

Good luck with the surgery. Hopefully you'll be feeling a lot better soon.

Knee is still pretty sore. I go back to see my knee surgeon in a week today. Can't wait to see what he says.

Thinking of you and sending you positive vibes.  :D
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 25, 2008, 12:33:39 PM
Joanne, good luck with the surgery - presumably its only a wound clean out, but youd have to be asleep for it or youd be beating him with your good leg - he probably wants to make sure all looks well in there too (and Im sure it does).

At least with this done youre back on the right road eh?
xx
Title: Re: Patella stabilisation post op diary
Post by: kathat on June 25, 2008, 02:40:02 PM
Hi Joanne,

Good luck with the surgery. I'll be thinking of you!!

((((((((HUGS))))))))

Kathy
Title: Re: Patella stabilisation post op diary
Post by: Peg Leg on June 26, 2008, 12:23:06 AM
Joanne, you poor thing!!  I hope by now the surgery is behind you and you are on the mend.  Please know that I am thinking about you!
Peg
Title: Re: Patella stabilisation post op diary
Post by: KW on June 26, 2008, 12:29:35 AM
Hi Joanne,

Hope everything went well today and  you are feeling better.

Take care,
Karen
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 26, 2008, 04:05:20 AM
hi guys
its 4am now. The OS came last night st 10pm as they felt I didn't look great. He said it was all in the tissues, one of the stitches in the fatty layer had got infected so he removed it and took swabs as he said previous swabs were just surface layer and not source. He drained the joint but said it looked clear. I have to stay in hosp until Friday as they wish to "blast" me with iv antibiotics. So I guess it must have been more serious than I ever thought. My knee nips like crazy as they have packed the wound so its not closed to allow stuff to come out if required. I have had injections for the pain and am on drips. The I'd comes back to see me Friday.
bit freaked out actually- never ever thought it was this bad as although pain was bad I never thought it was this bad, guess I must have higher pain tolerance than I thought.

hope I make sense and thanks for all your well wishs they have cheered me up no end as hubbie has to stay at home with kids so no visitors. Friends all busy with kids as last week of school do you all have been my visitors and I appreciate it.

Love you all
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on June 26, 2008, 04:15:46 AM
Joanne...I am so sorry. I went through almost the same thing...had surgery to clean it out. Was superficial as well. No hospital stay for me though. Outpatient. Lots of strong antibiotics. Ask for anti nausea meds to bring home, as they made me sick. Just want you to be prepared so spare you some discomfort. I will say a prayer for you tonight. Hang in there. Everything is going to be ok. Many hugs to you....

DONNA
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 26, 2008, 09:11:38 AM
Hi Joanne,
Im so glad they cleaned it out - it should definitely clear up now that the full force of the medical team has assualted it!!!
No need to be freaked out - infection happens. The main thing is that they know about it and have cleaned it up. You poor thing, Im sure youre bummed out having to be back in hospital again. But this will be the last time!!!!
Im delighted to be a visitor for you :)
xx

Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on June 26, 2008, 10:34:44 AM
Hi Joanne,

Glad your OS has cleaned it out and got out the offenders. I'm sure you'll be feeling so much better once the infection is totally gone.

Before you know it you'll be back home again.

I am pleased to be one of your visitors.  8)
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on June 26, 2008, 10:47:05 AM
Visiting hours aren't over yet, right???  Joanne, I am so glad everything is getting taken care of.  I guess you do have a high pain tolerance!!  That's great in some ways and not so good in others...that means you can tolerate injection pain happening and not really think too much of it b/c it isn't too uncomfortable!  I am so glad that things should just get better for you now!  Well a good day and know that I am still thinking about you!!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 26, 2008, 05:17:09 PM
thanks for your lovely posts. I am so tired and having the weirdest dreams even when I am half awake. I think I am hallucinating a bit. Still got the needle thing in my arm for drips its the third one as my veins got sore and leaked so they have to keep moving it.

Thanks for visiting I an very grateful and hope I make sense. I just thought I saw a nurse with a clown nose and make up on but I could be dreaming. Weird, so tired will see you lsatetr.
hugs
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on June 27, 2008, 06:29:44 AM
Joanne....Tomorrow is Friday....(um, here it is anyways, not sure of the time difference) Anyways, the weekend is here, and it is going to bring good news for you. I can feel it. Sorry about the hallucinations. Maybe there was a nurse dressed up like a clown for some reason?? If not, there could be worse dreams, right? I hope this is the end of your knee worries for awhile. You sure have had your share. Hang in there. You are strong and will get through this. The prayers continue....

Hugs....DONNA
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 27, 2008, 08:57:24 AM
Hi guys
I get to go home today  ;D
my blood tests of some crp test which I think is for infection was 25
I think above 10 shows infection or so I heard
I get to go home with another arsenal of antibiotics. The os plays the whole thing down but looking back either they were playing very safe and covering every option or the infection must have been pretty bad.

however I am very tired but hope to be home later today yay!!!
Title: Re: Patella stabilisation post op diary
Post by: Beda on June 27, 2008, 09:05:34 AM
Joanne- so happy to hear that the worse is now over for you - the operation has probably irradicated the infection, and theyve taken swabs to culture of the soure of the infection. Its GOOD there giving you so many antibiotics. Bone infection is VERY VERY serious and you dont want any of that. Then youd have to be months on antibiotics and spend ages in the hospital. So GOOD its only in the tissues. Infection in orthopædic operations are always a very feared thing - too bad it happened for you. You know here in DK we do actually have hospital clowns for the kids!! So it IS possible that you have seen a clown - otherwise its the pain meds that make you hallucinate. You must be feeling lonely with no visitors, but it will make you glad to get home again!!!
Know I'm thinking of you,
Love beda xx
Just read your post that came in as I was typing this, glad your finally coming home, dont forget to take the pills!!
Title: Re: Patella stabilisation post op diary
Post by: tanyap on June 27, 2008, 09:22:30 AM
Hi Joanne,
Bet your glad to go home!!! Im so glad they sorted it out - hopefully a few more days of antibiotics and you'll be right as rain.
Do you have a lot of pain? I hope you dont.
The OS probably was playing it down - but they have to do that cos they dont want people panicking - panic is not good for your immune system!!! And although infection is serious, it is treatable.
I hope you settle in ok at home and have a nice weekend after all the trauma of having to go back to hospital.
xx
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on June 27, 2008, 11:39:51 AM
Hi Joanne,

I'm glad to hear you get to go home today. I just wish they could have acted on it much sooner. In Australia they don't mess around with that kind of stuff. When I had an infection I rang him rooms and saw him the next day. Your OS is probably embarrassed because it got so bad.

Fortunately my sports physician works closely with my OS. So, if there are any problems he can speak with him straight away.

I hope you start feeling better soon.  :D
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on June 27, 2008, 01:12:06 PM
Joanne, I am so happy you get to go home today!  I can't wait to hear from you again once you are home!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on June 28, 2008, 03:13:26 AM
Joanne....Glad you are going home. See, I told you the weekend was going to bring brighter days!!

Hugs....DONNA
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 28, 2008, 11:09:47 AM
YAY I'm Home......... ;D

Tired, very tired and feel sick most of the time but I'm home. I feel like I have no energy at all what so ever :-\ but home :)

They got some pathology report in and changed my antibiotics again and I have to go get stitches out on the 5th July, there are only a couple as he said he didnt pull it really tight to allow it to drain if it needed to. I go back to see the OS on the 14th and hopefully I am done then ....well apart from PT.

He drained my knee and also done some manipulation of it and gave it a good bend apparently so hope that speeds PT along again.

Thanks all for getting me through this. I just need to rest this weekend and try and build some strength up. Does being on all those antibiotics do that to you ? i feel washed out. Hope you are all well and will get back on as soon as I can  :-* :-* :-* :-* :-* :-* :-* :-* to you all for your strength, love and support.
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on June 28, 2008, 12:44:47 PM
Joanne, I am so glad you are home now!  I hope things improve from here on out!!  Just rest!  Ice too!!  Well I am glad you have been taken care of.  I had my current OS apt yesterday!  It was crazy.  Well gotta go.

Farrah
Title: Re: Patella stabilisation post op diary
Post by: kathat on June 28, 2008, 12:46:52 PM
Hi Joanne,

The antibiotics are probably responsible for the nausea, but it would be the infection that has made you feel washed out. It takes a lot of energy for your body to fight infection - just think of how you feel after a bout of gastro or the 'flu  :P :P :P

I hope you get the opportunity to do plenty of resting this weekend, and for the rest of the week too, so you can get over this as quick as possible. Good to see you are home at last. I bet time dragged while you were in the hospital.

Rest up and take care,

Kathy
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on June 29, 2008, 01:24:57 AM
Hi Joanne,

Glad to hear that you are home now. I'm sure you'll feel so much better in your own home.

I hope you start to feel better soon. If you get too sick from the antibiotics do get your GP or physio to let your OS know. There are usually other ones they can use.

All the best for a speedy recovery !!!  :D
Title: Re: Patella stabilisation post op diary
Post by: WorkinWings on June 29, 2008, 01:58:40 AM
Wow.... I had NO idea!  I'm so sorry, Joanne!  Here I've had my head in my @#$$%  for the last week, and you have been going through all of this...  I'm sorry I wasn't here to try to give some support  :-[  You know I have been thinking of you, because I've sent you those few emails and PMs...  But now I realize how absurd they were, while you were in the hospital...

I am so hoping that this nasty bug is getting cleared out of your system for good, now! 

Wishing you all the best and speedy recovery.

Love and Hugs!

Angela
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on July 02, 2008, 02:47:36 AM
Joanne, I hope you are doing okay!!!!!  It's been a few days.  Please give us an update when you feel up to it!!  We miss you!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on July 02, 2008, 12:14:14 PM
Hi Joanne,

I hope you are doing ok.

Had a good OS appointment today. Feeling very relieved. Updated on my diary.

Title: Re: Patella stabilisation post op diary
Post by: Beda on July 03, 2008, 08:53:35 AM
Joanne, how are you feeling my friend? If your a total washout, it s the infection thats doing it. Your body is working extra hard fightin it, think of all the reserves of energy the white blood cells have to have to go in and fight off the bacteria. Hoep your eating some really nourishing food, thats very important when your recovering from an infection, ja, and anything for that matter. You need plenty of protiens 'cos protiens are the buildning stone of your body mass, and you need proteins to make new helathy tissue. get the hubby to grill you a nice juicy steak if you like that!! i expect that you will be on antibiotics for a while yet, when I had an infection I was on antibiotics for 3 months! So dont be surprized if thats what they do. Hope the nausea goes away, you can get meds against nausea, just ask your doc. I have the reguarly because I get so much medicine that the cocktail gives me nausea, and I take something called primperan for that, and it does take it away. So theres no reason to suffer in silence.
Rest up, get lots of sleep and good food,
catch you later
Love Beda xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on July 11, 2008, 12:53:35 PM
hi guys
sorry I know its been a while. I felt washed out, limp and tired and its taken me a couple of weeks to get back on my feet. Forgive me not checking in on you all but I felt tired and really down. One of the nurses told me after so many meds it could happen but I just wanted to cry.

The knee has healed much better this  time but is swollen and I have more pain. I feel clicking every time I walk on the medial side but I an praying that goes with muscle strength returning. Its been a long haul.

Please tell me how you are and I will try and reach all of your threads.

Thank you all for everything
Title: Re: Patella stabilisation post op diary
Post by: WorkinWings on July 11, 2008, 01:03:06 PM
Joanne!  You're here--welcome back!  We have missed you so much... 

But I completely understand your need to 'take refuge' for a while, rest, and recover some strength.  I am so glad that you are feeling well enough to say hello and give us an update on your status, but please do not apologize for your needs--they are your priority.

So sorry for all that you have been through  :-[  It must be so hard to start over, but now you have a new beginning, and trust that it will get better and you will continue to gain strength and your suffering will lessen with every day that comes.

We are always here for you--wishing you all the best!

Angela
Title: Re: Patella stabilisation post op diary
Post by: kathat on July 11, 2008, 02:18:54 PM
Hi Joanne,

Welcome back!! I missed you, but understand the need to get yourself back in the swing of everything. It's depressing when something interrupts the recovery process, and you had something that not only interrupted your recovery but made you feel sick too!! Not good! Fingers crossed that you have a speedy recovery from now on.

On a lighter note - I started driving today ;D I was three weeks post-op on Wednesday just gone and am doing really well. My PT was super happy with me and now believes me about swelling not being an issue for me ;) The exercises have started up lots of aches and pains, but that's to be expected. I am still worried about the surgery not helping the aching, as I have had a few of the "old" aches and pains, but I am reserving judgement for a bit and keeping my fingers crossed. I think a combination of my OS's tiny incision and good work, his aggressive post-op protocol, my body's lack of swelling in response to surgery, and the thousands of SLRs I did pre-op is what has given me such a rapid recovery. I am almost ready to ditch the second crutch - I pestered PT to let me go to one crutch, so he watched me do a couple of exercises and made me walk with one crutch before finally deciding I was safe. I actually feel very safe with no crutches around the house, but not when I am out. I still get tired quickly and my knee goes achy and stiff, so I almost still need two crutches when I am out for more than an hour or so. I have to remind myself that I am still in the early stages of recovery and my knee needs lots of rest, and a gradual build up to more and more activity. Now I can drive I'll find it even harder to take it easy ;D My knee certainly tells me soon enough though :P I guess it's good to be able to drive, as I can do things in bits and pieces, rather than save it all up for when somebody has the time to take me ;)

Anyway, I hope things improve for you, and that you start feeling a bit more like yourself soon. Take care.

((((HUGS))))

Kathy
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on July 11, 2008, 08:21:15 PM
Hello Joanne, welcome back!!  We missed you and have been worried about you!!  I hope your infection stuff has improved!  I hope you aren't in too much or any pain for that matter.  Let us know the nitty gritty details of your knee.  I hope it's doing well and I hope you are feeling better in many ways!  Good luck and I will be waiting to hear all about how that pain in the butt knee of yours is!  :)  Take care of yourself now.

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on July 12, 2008, 09:47:47 AM
Hi Joanne,

Glad you are back on deck. I was worried about you.

The surgery you had was a big job and is going to take a while to recover from. Mine is taking a lot longer to recovery from than I thought.  The meds can certainly make you feel horrible and a bit down. That certainly happened with me.

How is your physio going ? I was given a new program today and start pilates today, which was a great step for me.

Have a good weekend !!  :D
Title: Re: Patella stabilisation post op diary
Post by: tanyap on July 12, 2008, 05:45:32 PM
Hi Joanne,
Figured you were just worn out and needed a rest away from talking bout your knee etc...
Glad your infection is gone for good and you are healing up well.
Fear not about clicks, I had a good loud one on full extension after my scope that has pretty much disappeared, or when it does happen its not loud and totally painless, I did ask OS, he said clicks that dont hurt can be ignored, could be a bit of scar tissue - may well resolve itself. Only if it interferes with recovery or feels like its getting sore worry - otherwise ignore it.

I had a lovely holiday - need to go update my diary!!
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on July 14, 2008, 09:11:11 AM
great just when i am back we are goig to have internet issues. Flooding in the ground outside our house has effected phone cables so they say it may take up to a week.

I will be back..promise and will try and get on via my phone.

Love and hugs to you all
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on July 14, 2008, 10:02:26 AM
Sorry you are having internet problems.

Our internet was down most of the day yesterday and very frustrating, especially since I wanted to use it.

Chat soon.  :D
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on July 14, 2008, 11:03:31 AM
We'll miss you until your internet is back on again!!!  I hope your knee is doing okay! 

Farrah
Title: Re: Patella stabilisation post op diary
Post by: tanyap on July 29, 2008, 12:13:54 PM
Hi Joanne,
you havent posted in a while, i know you had internet issues, hope all is well with you, i will try you on your email address.
xx
Title: Re: Patella stabilisation post op diary
Post by: WorkinWings on July 30, 2008, 12:55:51 PM
Hey there, Joann!  I sure do miss you! 
Will be here awaiting your return to cyber-knee-land...
Hope you are well!
Angela
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on July 30, 2008, 01:17:44 PM
Hi Joanne,

I miss you too !!! Hope things are ok.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 11, 2008, 03:27:31 PM
aww thanks guys. I feel as if I  had a huge void in my life with no internet, I missed you all and found myself wondering how you all were going.

Will try tonight to do the round up.

Me, well my knee still swells. I now have quad action BUT my patella stills goes laterally although not as much. It clicks over the same thing it did before when I contract my quads. I unfortunately have more pain than before the op - one in May I mean. I have 70 degrees bend but if I hold it bent or sit too long with my knee bent the pain in ,y knee builds and its very sore then to straighten it.

I have to go back into my brace in the hope that tracking support helps with pain to build VMO up. Physio says he doesnt know if that will be enough as they found my trochlea is so shallow. I said what did he mean, he says we will try as much as we can conservative means for the VMO to build and hopefully pull more medially on the patella but if not the only corrective way is complex surgery as he put it.

Thats something I want to avoid but I am bummed about the pain issues.

Anyway, he says he is going away for a week with the OS on a cycling holiday  and will ask him about my knee then.

I reckon I must have the most obstinate knee  :-X

Anyway I have missed you all LOADS ! How are you all doing ?
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on August 11, 2008, 06:01:54 PM
Hey Joanne!!!  Missed you!!!!!  Sorry about all your worse pain and tracking problems!  I definitely undersatnd the frustrations!  I hope that your PT really does talk with your OS about you and hopefully can get some stuff resolved.  When was your last OS appt?  Did you have the same problems then?  If so, what has your OS said about it?  I hope you don't have to have a trochleaplasty...no fun, but if it helps and is necessary, then so be it, ya know?  At this point in my recovery, I would take anything!!!  Well I have definitely been thinking about you and happy that you are back with us!!!  Take care of yourself.  Are you taking some pain meds right now?  I hope so b/c it would make you more comfortable.  Have a good one!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 11, 2008, 06:52:44 PM
Hi farrah

I have Tramadol and co-codamol if I need them but I try to get by with the tramadol. I battle it during the day and take them at night. Its just the constant aching, but P is a bit** because the bit of patella that clicks over bone or whatever it is feels very sore when you do all your static quads over and over.

However, it could be worse so onwards and upwards I hope.

Glad you are doing ok
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on August 11, 2008, 07:44:10 PM
Joanne...I replied to your post in my thread. Ive missed you!!

DONNA
Title: Re: Patella stabilisation post op diary
Post by: WorkinWings on August 12, 2008, 12:52:53 AM
Joanne!  Missed you!   
It must have been torture not being able to get on KG...
Sorry about the recovery not going so smoothly, so far.  I hope they figure some things out to help you.  That's pretty funny--OS + PT going on a bike trip together!  ;D
Great to have you back,
Angela

Title: Re: Patella stabilisation post op diary
Post by: tanyap on August 12, 2008, 11:04:38 AM
Hi Joanne!!!
Welcome back to the land of the internet!!

Well the tracking issue might well resolve itself with a super SlyVmo - I like that they are going at it with conservative means for now anyway, dont forget that after a big surgery like yours it takes many months for all the sore bits to settle anyway.

That soreness from being in one position too long is a clear sign there is healing yet to do. I often think that part of that is that there is less blood flow to the area as youre subconsiously 'guarding' it so it stiffens up so easily. It does improve with time and movement though. I remember it lasted a long time after my TTT.

Is it toture trying to bend past 70? What does PT say about that?

Are you off crutches?

Are you back in work?
xx

Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 12, 2008, 11:28:57 AM
Back to work, off crutches just back in my brace now  *sigh*

I am just going to persevere with PT and hope that I can get a slyvmo like Tanyas.

On another note I think I have taled my other half into getting a  puppy. We are looking at Cavalier King Charles spaniels because they are so good with young kids and I have met a breeder who is sio helpful. However she lives about 5 hours away.

But one of her dogs has had a litter and the next litter is due beginning of September and we would pick one of those and collect November time. I am due to go to Disney with my kids in October so am hoping the knee is a lot tougher by then.

(http://www.perfidelis.co.uk/resources/_wsb_512x188_cav+pups+title.jpg)

She also puts news of the pups on you tube

http://uk.youtube.com/watch?v=dqk8mrBVt-w

SOOOO cute eh ? The litte we would choose from only has black and tans and ruby colour pups due. I think we would pick a ruby as my kids like that.

Anyway I am SOOOOO relieved to be back online, you have no idea.

I saw my OS  late July and he told me that one of my internal stitches had become infected and I asked would it have ever cleared up on its own and he said no, he thought it would have always ended up in theatre. He told me he thought I would do well now........so here is hoping I can get my knee back on track now.

Title: Re: Patella stabilisation post op diary
Post by: tanyap on August 12, 2008, 12:35:16 PM
back in work and off crutches - life is almost mormal eh???

My slyvmo is good sized but its like it got to 80% of other side and then just stays there - doesnt really get bigger, even though I feel improvement. PT said it might never get bigger but can still be possible to make it stronger.

Yeeaa!!! I love King Charles spaniels!!! SOOOOO cute!!! Ive been visiting the local animal shelter for dog lovin as I dont have one.

Whats PT saying about the amount of bend you have and how much its likely to imrove? And how often you doing PT and what exercises?
xx

Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 12, 2008, 12:48:10 PM
I go to PT once a week. Its a difficult one as we do quad exercises but you can feel the click of my patella over to the lateral side and it goes over bone. So its trying to isolate the VMO and build it up which then aggravates the medial side that feels very tight where they done the work and "burns" a lot. If I sit with my leg bent for any period of time it gets very sore and boy the ache can build up.

I feel in general I have more pain in my knee now than I ever had pre-op. I mean it got sore but not as annoyed as this and I am bummed that I still have the lateral bumping over bone.

However I am going to persevere and get this knee working and hope PT will eventually get it going its whether I can get the pain to subside I guess.
Title: Re: Patella stabilisation post op diary
Post by: tanyap on August 12, 2008, 02:24:30 PM
And do you do exercises at home yourself too?
There are some vmo exercises you can do that dont require movement of the kneecap at all, one is just to sit in a chair with legs at 90 degrees and push heels into the ground, that activates the vmo - but can be very sore if youve any inflammation in there at all so be careful if you try it.

I used to hate that soreness from sitting with bent leg - I can still get it a bit if I sit with legs tucked in under me for too long. It takes ages to work its way out.

Dont forget you had two surgeries in a really short period of time so you will have a lot of healing to do.

That lateral bumping may well resolve, but it could take time. I was so pleased to read you had some quad action!!!

Missed you loads too Joanne :)




Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on August 12, 2008, 05:55:23 PM
Hi Joanne, it's good to see you and Tanya back at your messages back and forth!  I remember on Tanya's pre op diary, you guys would go back and forth maybe 15 times in one morning (my time).  It would take forever to catch up :)  Anyway, glad to see you back here and glad your infection was taken care of quickly. 

I love Cavy's!!!!!  I wanted one for so long, but when it came time to figure out which breed for me to get, I chose against them b/c the research said they are difficult to housetrain for a first time dog owner (me).  While we were on our little getaway over the weekend, during the concert, there was a gentleman sitting near us (on a grassy hill) with his two cavy's!  One was white and tan and the other was black and white.  They were sooooo cute and cuddly!  The puppy of the two was hyper!!!!!  I love my babies that I have now, but I would love to get a CKCS in the future. 

I hope your knee is a lot better for you by October for the Disney trip!  Is it the Disney World here in the US?  Or is it another one that you would be visiting?  I know there seem to be a few locations around the US and the World. 

I hope you have a great night!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on August 12, 2008, 06:08:49 PM
Hey Joanne....Just thought Id pop in and say hi. Im sorry your pain is worse than pre op. I sure hope they can get to the bottom of it real soon. I am off to PT soon. Should be interesting.....Ill let you know what they had to say.

Hang in there.

DONNA
Title: Re: Patella stabilisation post op diary
Post by: TeitgeORPrincess on August 12, 2008, 08:33:51 PM
Joanne! You tell the BEST stories ever! It was like a soap opera I was reading so intensely!

Glad to hear you're doing well now :) And I LOVE the kneebrace...LOL I have an immobiliser for my leg (I just had a tibial rotational osteotomy done August 4th) which is not nearly as cool as your contraption, but I love it just the same; it keeps my leg uber still and comfortable, particularly when I sleep. (Teitge told me to wear it when I sleep...something about how the muscle won't go and do something weird....I don't know, I have vauge recollections of the hospital stuff.....heehee)

Anyway, so sorry you had a hard time waking up from anesthesia...I did too, this time, and it's my 5th surgery, you'd think I'd have it down. I just remember grabbing everyone's hands, whether they were a nurse or my parents or whoever because I felt like I didn't know hwere I was and every time I opened my eyes things moved funny and I had to close them...I was fighting really hard to wake up fully and then I felt nauseus....Lucky you not being allergic to morphine like I am!

Recover well :)

Amberle
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 13, 2008, 11:45:08 AM
Amberle that is very kind but really you should read some of these girls posts...they put mine to shame  :P

How are you all doing today ? I had a rubbish nights sleep. Every time I go to move my leg or contract my quads I have the bump and it gets more painful as the day goes on.

However I am trying to keep busy as sometimes you have to distract yourself dont you.

Tell me all about your news
Title: Re: Patella stabilisation post op diary
Post by: tanyap on August 13, 2008, 12:39:29 PM
when i first started being able to walk again i got a mild version of the bump in my GOOD leg!!! physio said i was just rusty and once id re-oiled by continuing to walk should resolve itself, she reckoned good leg was also weak at this stage. is fine now so perhaps she was right.

i got absolutely soaked for my walk yesterday then twice again that evening, today all my joints feel a bit achey but knee is quite stiff also, must have just been from the wetting.

you totally have to distract yourself.

Im on week 2 of different footwear - last week was hard, this week is much easier, my legs have forgotten they have to walk slightly differently to adjust to different footwear. i get achey in both legs and feel awkward when i wear something different. However Ive gone from only being able to wear the 1 pair of boots and 1 pair of trainers to now having a choice between 7 different pairs :)

xx
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on August 13, 2008, 12:50:13 PM
Hi Joanne,

Pleased to hear you are off the crutches and back at work.

That's very exciting about the puppy. I get mine in a week or two once I find a new place to live.

Keep up the physio, it will come good. Tanya, is right there are exercises you can do at home. Definitely ask your physio about that.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 13, 2008, 08:47:07 PM
They gave me exercises to try and stretch the lateral ligaments to see if it helps with tracking, the irony is whilst I was weak my knee was sore but ok. Its only as I get my strength back and my quads build up that I realise I still have tracking issues. I am doing the exercises at home but it doesnt take too much to pi** my knee off. I mean I have done very little today, done my exercises , some static quads, VMO isolations which in turn pull on the now very tight medial tissues which can burn but its the knee bumping, grinding and clicking which is worse.

I am concerned that now they just put it all down to my shallow trochlea and tiny knee cap and they just say live with it. However I am fighting hard as I have a long way to go with physio and am not near giving up yet :)
Title: Re: Patella stabilisation post op diary
Post by: tanyap on August 14, 2008, 09:00:36 AM
Keep at it Joanne, it takes a long time and some tracking issues CAN be addressed with stronger muscles.
I always got the 'tiny patellas' story too but my latest (great) OS says thats not relevant, my left leg is fine so its he is like 'youve the same size patella on the left as the right!!!'

What are the VMO isolations you are doing and how do you do them? I wonder if I could try them, my vmo is still smaller than the good side even though its not visible, but if you feel each side you feel less mass on the right.

Have you exercises to help with your bend?

What about a pic now that your all healed up from your infection etc?
xx
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on August 14, 2008, 11:24:14 AM
Hi Joanne,

I want to say that if you have a shallow trochlea like I do don't put up with it. Something can be done. Mine feels so much more stable and tracking so much better now. I think my OS is a hero !!! I will be forever indebted to him.

Keep at the physio. Am sure you will start to notice some difference with no time at all.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 14, 2008, 04:32:13 PM
I will keep at it for now. Couldnt afford any more surgery just now and couldnt face it either. I do bends on an exercise ball to try and make the VMO work harder, static quads, rolled up towel below my knee etc. All the standard stuff really. Brace on today and whilst I hvave less clicks it makes the knee ache more :(

AAAhhh happy days.

I have my 4 yr old lying across my knee unwell holding her hand up on my face saying how many fingers. I am viewing the screen between wee spaces that are flying back an forward like possessed window wipers *sigh*

Better go get her juice and more medicine. She has a sore throat which she has felt it would only be the right thing to share with her mummy......ooh the joys of parent hood :)

Both girls go back to school / nursery next week and for it all I will miss them desparately. Dont want them to grow up this si just such a special and funny age and I love it. Guess why i am getting a puppy......... I'd have another baby tomorrow but I just dont think my knee would cope....let alone me and pregnancy dont go together very well. I make throwing up an artform !

Talk later
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on August 14, 2008, 06:28:19 PM
Hi Joanne, a new puppy should definitely be better than a new baby right now!  You will get a lot of enjoyment and frustration out of it.  The training is the worst of it.  Once that's done, it's easy and fun!  I love my dogs like children...although I can't wait for babies! 

I hope that your patella tracking issues are just muscle weakness.  Not sure how your surgery works out usually, so I can't give advice there...I have a shallow trochlea too and also feel the bumps, grinds, and crunching.  I think it's just muscle weakness for me...my new braces have helped though!  Gotta get back to work. 

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 14, 2008, 08:42:57 PM
I must admit to being unsure. Yeah I do have muscle weakness but I have more quad activity now as I actially have some dgree of pulling and control  - thanks to the op I assume. But the grind over laterally is more than what it was pre-op.

Doesnt make any sense to me at all . They said pre-op my patella was just all over the place not it should technically have some retsraint but the bumping is worse. I dont get knees, doubt I ever will.

I am looking forward to having a pup, have 2 cats never had a pup so have ordered lots of books. All advice needed :)
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on August 14, 2008, 09:16:19 PM
Joanne....Sorry the knee is still confusing you so. Join the crew. Mine continues to puzzle me as well. :-\

Puppies are the best!! We have a toy poodle and a big terrier mix. Love them both. And definitely easier than babies!! ;D

Hope you and your daughter both feel better. I dont feel well myself today. Not sure if its allergies or a cold coming on. But Ive talked to 4 people today who dont feel good, so something must be going around.

Take care.

Hugs....DONNA
Title: Re: Patella stabilisation post op diary
Post by: tanyap on August 15, 2008, 03:37:33 PM
Hi Joanne,
Knees are puzzlers eh? Remember I only had a scope and he removed torn meniscus - well Ive a new click since - its deeper than kneecap, must be where he sliced off the torn bit and left a little 'ledge' or something.

Youd still have a lot of muscle weakness at this stage, it will all improve I hope. Perhaps the bumping is worse now because of the restraint so instead of bumping off smoothly in the wrong direction it gets hauled back so it seems like a bumpier ride? I dont know - Id like t be one of those normal people who doesnt have knee problems!!!

Fergal is stealing my thunder this week, he hurt both his knees last week so has stolen my ice (frozen peas) and anti inflammatory cream!!!

I hurt my own knee yesterday, well more the side of my leg, think it could be scar tissue - keep hurting the one spot. oh well!!!

Love to hear your mother stories, your kids sound so cute!!
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 15, 2008, 05:22:43 PM
They do make me laugh Tanya....never a dull day.

Like when my now 4 yr old was 2 and a half decided to colour in, except she found paper boring so started at her belly button and worked out. She was a green hugh for days....crayola may be washable but they never thought of skin :)


My knee is really sore today and annoying me. The bump or grind or click or whatever you want to call it is more profound and more powerful. i think the retsraint of the last op has maybe done that. When it clicks over the bone or femoral condyle as I have been told you can audibly hear it and afterwards it can throb in that area for a while.  I do know that I have put a timescale on this, I wont go forever like before willing it to get better. Its been2 years of my life and if there is a fix that I cant achieve by myself I do wnt it but I need to give this a shot.

I mean I am of the opinion I am better to be forewarned with info as have found that here they dont tell you a huge amount, you need to be armed with appropriate Qs for them to answer as its just not done to Q the OS really.

So as I build my VMO and if I have no change what are my options ?
I can see my PT already starting to worry about the tracking as I feel its worse .....my patella stability is better I dont feel as if its going to dislocate now. (Actually my patella sat the whole time partially out pre this op so the OS told me).

Anyhow back to topic:

had a LR
had patella stabilisation with medial ligaments being tightened

So what next ? My aim is for another 6 months of PT but having been down this road before I would rather know the path ahead of me so I know questions to ask. Dont mean to sound negative, just need to be realistic and work hard at PT with the hope that if it doesnt work I still have options.

Thanks guys :)*/
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on August 16, 2008, 02:49:46 AM
Hi JOanne, I understand your worries.  I am sorry that you have these things to worry about though.  It's bad enough just trying to get through a recovery, but to also have the back of your mind worry if it has been successful or not.  I will not tell you not to think about the future if this PT doesn't work.  It is important to think positive though right now.  I know you know that.  I have learned to just go with the flow now adays and do what I can to get answers along the way.  It's been working out okay as far as getting answers...pain hasn't settled yet.  I can't wait for that to happen. 

Be very careful getting a Cavalier King Charles b/c I did plenty of research before buying any puppy breed and learned that those are very difficult to train if you have never had a dog before.  Maybe your husband is a pro at it.  Cavvys are just not very smart compared to some breeds.  That's why they are not good for beginner dog owners like I was.  I ended up getting a Dachshund first (Aury) which turned out to be another difficult breed to train.  I knew it before hand, but they were rated better than CKCS dogs.  It did take her forever to learn though.  I am sure you will do fine if you are going to be ordering and reading lots of books.  Read all about the breed.  I have one on Cavvys that I wish I could send to you.  I have one on each breed that I ever thought I wanted.  Then once I chose a breed, I stocked up!  I read a lot and our dogs receive complements by all of the dog sitter friends.  They say that we have the most well trained and well behaved dogs.  My husband isn't responsible for it at all!!!  All me :) 

Joanne, I hope that things improve for you and that you get answers.  I don't know much about your surgery, so really can't give any advice there.  I hope your weekend is good though!  Your kids do sound so cute!  Have a good one!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 17, 2008, 05:45:18 PM
Thanks farrah :)

The lady that breeds them starts training for you and she is so amazing with dogs - sound slike you actually and I have faith in her and her ability to start me off and be onhand as otherwise like you say its a minefield choosing.

What training method did you use, did you crate train ? Thanks Farrah.
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on August 18, 2008, 01:48:24 AM
Hi Joanne, I hope you had a good weekend!  How has your pain been? 

I crate train both of my dogs.  It works wonders and makes life so much easier!  They love their crates as well b/c they like their beds in there and they also get treats every now and then.  B/c of their lack of exercise lately since I can't walk them or take them to the dog park much, I have only been giving them one tiny treat a day and it's when they go to bed.  SO when I say bed time, they sprint to their cages and lay down and wait for their treats.  The rest of the times when I say to go to their crates, they still run over to them, but they may not run in and lay down right away.  I do still have my cavalier king charles spaniel book.  It's a very good one.  Here is the link: 

http://www.amazon.com/Cavalier-Charles-Spaniel-Barrons-Complete/dp/0764102273/ref=pd_bbs_2?ie=UTF8&s=books&qid=1219020122&sr=8-2

Anyway, with crate training, it's nice b/c usually they don't like to pee in their crates and have to sit in it.  So they wait until you let them out and take them potty.  The puppy training books explain how to do it very well.  It's very easy as long as you are home to take them out every 3hrs or so for the first few weeks.  They say that if your dog is 2 months old, that they can hold it for 3hrs.  If they are 3months old, they can hold it for 4hrs, etc.  When you purchase a crate for your puppy, buy one that is adjustable so you can have it as a perfect size for a puppy and then expand it for a dog.  Here is a link to the one that I have for my dogs:  http://www.petsmart.com/product/index.jsp?productId=2753745  I started out with the separation in there to create a small crate at first and then expanded it as they grew up.  I use that crate for both dogs.  Unfortunately, one of my dogs didn't care about sitting in his own poop or pee!!  It was so difficult training him, but it was our fault too for not taking him out enough at the beginning.  Oh well, he's great now.  Well just ask if you have any other questions about crate training.  I know a lot of people do it too.  I keep a little bowl and a water bottle in them for their foot and water during the time that they are in there.  Don't do that for a puppy though b/c you have to monitor their food and water intake so you can time potty breaks well.  I read so many books on training and on my dog breed that I can answer lots of questions.  I have also watched a lot of dog whisperer and had to use some of those methods for my jack russell since he's so stubborn!!  Well good luck with all the research...the more you learn, the easier it will all be!  It's more work than you think.  Have a great week, Joanne!  Do you have appts this week to get some answers???  I hope so! 

Farrah
Title: Re: Patella stabilisation post op diary
Post by: tanyap on August 18, 2008, 09:17:01 AM
Hi Joanne,
I think that as far as recovery goes you need to keep some kinda diary that you fill out maybe once a month, that way you can track progress (or lack of) in various areas. So like give a good description of what you are having trouble with today and then in a month revisit it and see if its still as big an issue or has it improved etc... That way you will be keeping a more objective eye on it than just having a bad day or convincing yourself there is improvement if there isnt.

You need at least 6 months (or maybe more) PT for now anyway to see where it takes you. If the clicking thing is still a big problem in 2 months time I would start making noise about it though.

When do you see your OS again? You need a list of things to question him about - like what other options are there if your tracking doesnt improve. If he says 'oh well it will improve' ask him for a reasonable timeframe within which toi expect improvement.

Hows your ROM doing?
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 18, 2008, 06:05:10 PM
hey guys

I was at PT today.

 can now do SLRs, my quads are back in action and i do have strength there now to do stretches etc and maintain them. However I have this terrible grind. My ROM is a @ 80 degrees and as my PT says strength improving, muscle tone improving, stretches improving all good tick boxes but tracking poor.

What he suggests is maybe before this op I had no tracking at all, my patella was subluxed yje whole tme and now I have attempt at tracking. I'm not sure I am convinced of that as I ould have felt it......you wouldnt just not notice your knee cap sitting on top of a femoral condyle.

I said I am happy with the patella being at the front of my knee now but the quality of my walking etc is all poorer in repsect of the pain. I have more quad strength now than I have had n  over a year and yet the tracking is the poorest its been. I made him feel my knee and feel the click and grind....which you cant miss.

He says we give it another 4 -6 week and if no discernible improvement he would refer me back to the OS for some suggestions as to what to do. Back in a knee brace that is supposed to hold the patella more medially but it doesn't restrain it enough so I still get the click and grind...maybe not on every step like it is without it but I still get it say 2 steps out of 3. Every time I straighten my leg its the grind and then after a while of being upright you start to feel what I can only describe its like when you graze your knee but on the inside.

So trying hard to be positive and maintain the happy outlook but seriously starting to worry as I have moved from one problem to another one now which is more annoying and sore than it ever was before......even with improve muscle tone !

Anyhow sorry to bore you. How are you all today ?
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on August 18, 2008, 06:22:17 PM
Joanne, keep working on those muscles for now.  4-6 weeks is a good amount of time to determine if it's a problem or not.  I wear the Donjoy TruPull Lite knee brace and it's amazing at stabilizing my knees!!  With my "good" knee, it completely takes away the grinding when bending!!  It's great!  I don't know if you can get that brace, but it would be worth it!  Many KG people are using it and love it.

Gotta work now, I hope you feel better, Joanne!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: tanyap on August 19, 2008, 09:11:17 AM
Hi Joanne,
Thats a great idea by your physio - 4-6 weeks is reasonable, specially now that you are able to do SLRs you will start gaining more strength and that might make the difference. Perhaps they mean before that it was just sitting at a bad angle all the time as opposed to being out over the condyle? None on my subluxes ever pushed mine out over the condyles, just kneecap out of place in the right area if you know what I mean?

Oh I organised a night out for us - details over on my diary - hope Kirsty comes too, she would like a Gladiator :)
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 19, 2008, 12:45:44 PM
Hi guys...SO up fpr a night out Tanya...meet you at your diary :)

I am just going to keep going and d my best. The clicking and grinding is driving me mad, I wish I could ignore it but its just not easy. I dont think I could get used to living with this so i am constantly doing wee exercises. Standind in queues I am doing wee static quads, when at my desk I am doing the wee things he told me about....not overdoing it but all to gently build this and push on.

Dont want to think further than that as I really dont know how you solve a mal tracking patella if this doesnt work, I mean I am figuring I have had all the normal surgeries and rehab so we will see.

farrah

I read a book on Cavvies and looked up your crate - I have decide dthat is the one I am going to buy.

Currently reading Puppy training for dummies :) and also te Dog Whsiperer - before and after your puppy.


Out of interest where did you keep your crate, even a small crate is not that portable and they say to keep it in the bedroom at night and I keep thinking how am I going to carry this about the house.
Title: Re: Patella stabilisation post op diary
Post by: tanyap on August 19, 2008, 01:39:00 PM
Joanne - even though we dont have a dog we love dogs so we bought the Dog Whisperer series 1, 2 and 3 dvds off ebay really cheap - I highly recommend. He is brilliant. I have only read one of his books but am going to get the rest of them. A lot of it is common sense but he also has great tricks for understanding your dog.

Well there are other surgery options for your knee but thats not somewhere you even want to go right now in thought. Seriously, think of how long you have little or no quad action? Its going to take ages to get those quads doing what they should be doing at the level they should be doing it. Ive great quad action now, they always kick in when they are supposed to etc...but Im still slower to move on that side and I can still feel the weakness. It takes time to build muscle, then it takes more time to get it acting as it should - so youve a lot of time to see improvement before making non conservative decisions. Remember it is going to take your body at least 3 months just to recover from being operated on (twice!!) then more time again for rehab - but the key is you should start seeing SOME improvements in 6 weeks or so - I think the best thing for you is to do as you said - get on with the rehab, see how it goes - its still quite early days for you Joanne.

xx
 
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 20, 2008, 09:38:14 AM
Morning guys

Having a pi**ed of with my knee day. Trying hard to forget about it and ignore it but it keeps giving way. Going down steps or just walking along normally...thankfully my leg doesnt buckle completely but it gives way and I stumble.

However keep at the exercises and plod on :)

How is everyone else doing ?
Title: Re: Patella stabilisation post op diary
Post by: tanyap on August 20, 2008, 09:53:39 AM
Hi Joanne,
cmon, cmon - tell me which Gladiator is for you - I need to let him know so he can have the flowers bought and all that!!!
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 20, 2008, 12:42:31 PM
 ;D ;D ;D ;D ;D ;D ;D ;D ;D


 AAahh Tanya you make me smile.

Whichever one has the best physique...cause he ma need to carry me a while...not that I would be complaining :)
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on August 20, 2008, 01:10:38 PM
Hi Joanne,

Sorry you are having a bad day with your knee.

My right knee has been pretty sore but the left is getting stronger.

Think I have found a place to rent. Will put in an application tomorrow.

Had a bad day at work with my boss. He's just unbelieveable. Totally wrecked my beautiful spreadsheet and have spent a day fixing it !!!
Title: Re: Patella stabilisation post op diary
Post by: tanyap on August 20, 2008, 01:50:16 PM
Joanne - they ALL have great physiques - which is why we are going out with all of them, but you get to have a special one to yourself during the evening if you wish.

Heres a pic of my favourite :)
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 20, 2008, 06:13:38 PM
ok give me a link I will find one. Any of them look like Matthew Mconaghy sp ??

Hmmm evening is looking brighter already me thinks :)  :P :D ;)
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 20, 2008, 08:33:27 PM
Well guys this may sound daft but is the folowing due to muscle weakness:

When I stand straight and look in the mirror if I have my feet straight side by side my right knee (problem knee) kind of points in the way towards my other knee....not massively but definitely does not point 100% straight ahead like my other knee.

When I turn my knee to point fully straight ahead when I look down my foot points outwards a bit like towards 2 o'clock rather than straight ahead at 12.

Dont know if I am decsribing this well but do you think that is muscle weakness ?
Title: Re: Patella stabilisation post op diary
Post by: tanyap on August 21, 2008, 10:56:47 AM
Hi Joanne,
Try www.gladiatorzone.co.uk and check out Atlas - he is the man for you!!!

On your descripton of pointy knee - mine is exactly like that. Its called Fermoral Anteversion (not sure of spelling). Its literally the femur twisting inwards - in mild cases (like what you describe and mine too), its possible its just muscle weakness of the glutes/hip muscles and strengthening them can straighten it out. In more severe cases (a number of people on this board have had bad cases of it) there is a surgery they can do but the severity for which theyd consider surgery is seriously twisted, not what you describe or what I have.
My physio recommends doing my exercises with my feet in the correct foot placement even though it feels awkward to me not to have the right pointed out at 2 o clock. She says Ill only encourage it if I allow the point. However, there are some exercises, like step downs, where my body just forces my foot round and if I dont let it I get strain in my ankle.

Its absolutely nothing to worry about if its pretty mild. When you are using your knee properly again your bum and hip will get stronger again - they are just weak now from your troubles before surgery and not being able to use your leg much since surgery - it will resolve itself to a large degree in time and a very small amount of twist shouldnt do either of us any harm.

If you check out Briannes diary - she has developed it since her surgeries - she has pics you can see.
xx
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on August 21, 2008, 12:23:09 PM
Hi Joanne,

Hope you are having a better day. Things are starting to look up for me. Going to visit my puppy this weekend. Can't wait !

Tanya, love the picture of the gladiator !!! Wish I had a body like that.

Enjoy your weekend.  :D
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 21, 2008, 01:09:22 PM
Oh Kirsty have you any pictures of your pup ? Is it a boy or a girl ? I have decided on a boy as I dont want to worry about seasons.
What age is the pup and when do you collect them for good ?

Its exciting isnt it. I am reading books about training puppies all the time just now :)

Thanks Tanya need to find good bum exercises then :)
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on August 21, 2008, 01:35:41 PM
Hi Joanne,

I will probably get the pup mid September for good. Put an application in for a rental house today. Hope to hear early next week about whether I was successful. Will try sending you a PM with some more pictures. My puppy is a boy. They are meant to be easier to train than a girl. Guess time will tell. The pup is about 3 months. He was born a couple of days before my knee op. Very exciting !!!

Definitely tell your physio about your knee turning in. He will be able to give you some exercises to strengthen your glutes. I've had a problem with my left hip and my sports physician reckons it's more to do with a weak glute. Also tell your OS when you see him next. When is your next appointment with your OS ?

Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 21, 2008, 08:52:28 PM
I dont have any more apts with OS. Over here you dont go back after your post op one unless there is a problem. My PT can refer me if he thinks it is required.

What sort of pup is it ? I am really excited for you.

Tanya I must check out that link.
Title: Re: Patella stabilisation post op diary
Post by: tanyap on August 22, 2008, 09:14:29 AM
Thats the same as me Joanne, no more appointments after post op unless required but my OS was very sweet and said I could self refer as I was already his paient so for 2 years I can just self refer if I want. He even told me to see him for free if needed at the local hospital instead of paying privately in his private practice. Sweet eh?
Im going to write to him soon and send him a gift, my PT said to wait at least 3 months after surgery before writing - just to be on the safe side :) So its 3 months now, I should get on with it.

So Joanne, hope youve got your dancing shoes ready for our fun weekend!!! This time I have to stay away from the Tequila!!!
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on August 22, 2008, 11:16:42 AM
Hi Joanne,

Can't believe you have no more appointments with your OS since it was such major surgery.

I'm seeing mine next in mid November. He will be keeping a very close eye on my recovery since I have had so many problems with my left knee. Then, we may have to start on the right. Oh, what joy !!!

Had a crappy day today. Will update on my diary soon.

I'm getting a Bassett Hound pup. Check out the Hush Puppy website at www.hushpuppies.com.au for some cute ones. Tonight I bought my puppy some toys and a bowl.

Chat soon.  :D
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on August 23, 2008, 07:16:10 AM
Hey Joanne....Just popping in to say hello and let you know Im thinking about you. Hope that knee is behaving some better for you. Cant believe u dont go back to the OS anymore. Thats so odd to me. Hope you have a great weekend.

hugs...>DONNA
Title: Re: Patella stabilisation post op diary
Post by: WorkinWings on August 25, 2008, 02:31:19 PM
Hi, Joanne!

I always knew you were a little twisted!   ;)

Glad you finally admit it yourself...

Just joking   ;D   Hope you are well these days!
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 25, 2008, 03:07:39 PM
 ;D...you mean you are all just realising now. I think I must be round the bedn !

Well NEWS !!!!!!! :-[

I went to PT today and said hw the brace was no longer helping...if it ever did. You can now audibly hear the click / clunk as the patella goes laterally upon straightening the knee or contracting quads...to the extent the PT got the OS through. (WHich was great it meant I was charged for another apt, so he was very kind). They looked at my knee and saw there was little VMO but my lateral side quads he said were exceptionally strong - amazingly strong he said. The VMO is not getting any chance as the lateral pull is so strong it overpowers it no matter what. He asked when my LR was and I said a year ago last may and he said either the LR was not complete enough or scar tissue has formed and this issue will not be rectified now without further surgery.

He said he would have to scope the knee and release even a tiny part of the muscle and remove scar tissue or redo the LR.

So I said I would think about it as I dont know if our insurance would cover it. Also we have a holiday booked at the start of Oct and OS is goig on holiday for 2 weeks at start of Sep. So if I was to do it I would say it would be the middle of Oct at the earliest.

MORE surgery  :'( can you believe it. If I dont then as I get more and more muscle strength in my quads because of the huge pull of the outer quads this could get worse. He feels if we could reduce that pull and give my VMO a chance my patella could track really well *sigh*

My husband is going ballistic saying this is a joke...coudn;t they figure it out before. But I do get what they are saying. The patella stabilisation has allowed me to be able to work my quads now without suluxing badly and to build them back up. The first time since pre-LR I can do a SLR etc, so its now apparent that the LR was not successful enough.

It would just be a scope, not as major as the LR he says so thinks I should bounce back at the same pace as a regular scope for meniscus removal etc as basically the procedure has already been done, he just needs to tidy it up. (Have I said I am so cross with  the first OS I went to yet ????...long story but I wouldnt be in this mess now)

What to do, what to do. My husband says I am mad to consider having another op, but if it reduces the pain and allows me to push on surely its an option I shouldnt remove. I mean I am only 34 and I do want to be active again as the integrity of the joint inside is not too bad apparently...if I can just get the tracking right.

What do you think I should do ?
Title: Re: Patella stabilisation post op diary
Post by: tanyap on August 25, 2008, 03:29:27 PM
Hi Joanne,
Yikes!!!
Seriously, could he not have nosed around while he was in there and figured this out before!!!!!

About more surgery - I dont know what to think, youve been through so much already. Would you be willing to try the conservative route first? Remember my invisible VMO that came back to life with e-stim and VMO specific exercises? If you could only get it working a little by itself you may be able to build on it. But Im not an OS so i dont know.

Id be concerned about re-doing the LR incase it ends up over released, but if he only took out scar tissue I suppose it wouldnt be a big deal.

What about a second opinion?
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 25, 2008, 03:52:16 PM
I dont know what to do. My patella is badly maltracking, as with all quad muscle exercise you are going to build the lateral quads even if you work on the VMO as best you can there will still be residual lateral quad action. Right now even with him restraining it with all his force my muscle can pull it over the condyle :( So even if it gets slightly stonger the pull will not be balanced by VMO. We have done more VMO work than we can count and the PT team agree that we could be here 6 months time and I would still have a stronger lateral quad and as such may have mal tracking. Their view is provided it was a scope, clearing scar tissue would allow them the option of building the VMO and evening out the balance muscle wise allowing the VMO to have a chance.

Who knows, I am no expert.

They would never have known that my quads were this powerful as I have not had them in over a year but have been diligent in getting them back...and its not that they are huge. I have had knee issues since childhood so I think my muscles adaprted to cope with my knee and as such the lateral quads just seem ready for action and are doing their bit.

As for 2nd opinions, I do trust this guy, I believe firmly in his ability and although I had bad luck with my infection he has always hit the nail in the head and in truth doesnt believe in LR as operations that solve issues. He would always got PT first as my PT told me he sees more issues following LR than benefits. I bet I have put him off for life.

I dont know, confused, very sore just now and dont know what to do.

But TY Tanya for replying  :-*

Have to change my phone settings (to get international access and text you tonight - let me know if you get it as I still dont know my number off by heart ooops)
Title: Re: Patella stabilisation post op diary
Post by: tanyap on August 26, 2008, 11:52:26 AM
Hi Joanne,
Didnt get any text from you - dunno if you managed to send or got a failure or whatever.

Yeah - I totally hear what your saying about the quads. Makes sense that even with full force of PT restraining your quads can still pull it over, the quad is an enormous muscle, far bigger than 2 biceps added together.

I do think that if there is no option but surgery you have to go for it. If he is only excising scar tissue its really not a big deal - my fella took out some medial scar tissue during my scope and to be honest I had no after effects from it (besides healing from the scope itself).

Its a hard decision for you but you need to do it if there is no other way. Your head must be wrecked about it though.
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 26, 2008, 12:20:47 PM
i got a text from O2 saying within 24 hours I am enabled...so it may come through delayed....watch that space :)

I am confused and unsure and hope its the last one. I mean I am scared if after this it still maltracks, I want to know this is the FINAL solution if you know what I mean.

Anyhow I phoned BUPA this morning as I wouldnt consider it if they wouldnt cover it and they said they would. My other half is fed up taking time out of work to get kids from school etc so he says the earliest he will consider it is November if it needs done. So I feel as if I am fighting battles on all sides just now.

I may say to go ahead but give me a date in Nov so that I can still work on PT and see if I have any improvement and if I do I can cancel it.

The OS said he would check for scar tissue and remove it, or if needed extend the LR and may even have to nip the muscle as he put it.  *sigh* totally confused
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 27, 2008, 12:57:57 PM
Well I had a bad night, I was sore yesterday so last night I took tramadol which wasnt enough so I then took some co-codamol and you know what I was still in pain. I just have this ache that can get worse. My knee is giving way completely at the most annoying moments...lifting dinner out the oven last night and started to walk across to the table and nearly fell with dinner. It just buckled right down and I stumbled...but kept hold of dinner. It was the worst my knee has gave way yet as it wasnt a weegive way my ley just went and everything went into slow motion, thankfull I kind of fell towards the breakfast bar and so got the dinner down and also was able to hold onto it.

I hate my  knee I truly do. I wish I never had the LR, I had a sore knee before it but could strap it up and take pain killers and have a reasonable life. Now I dont have a quality of life with this knee.

Anyhow moan over. My puppy is due to be born literally any time now  ;D I am excited !
Title: Re: Patella stabilisation post op diary
Post by: brianne on August 27, 2008, 02:12:59 PM
Joanne,

I would recommend a second opinion.  You really need to see a PF Specialist.  I know thats harder in the UK then it is the the US, but I think it is of utmost importance.  You need to know that this is going to work.  I am no expert, but your OS's diagnosis and treatment plan of repeating the LR sounds totally whacked to me. 

Thats my advice.  Find a specialist before having ANY more surgery.  A good knee doc is not a PF Specialist.  You cannot keep having more and more surgery hoping that the problem will be resolved sooner or later.  Please do not jump into more surgery just because your OS is saying that you need it.

Brianne
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on August 27, 2008, 02:56:01 PM
Hi Joanne,

I think Brianne has given you some very sound advice.

Do you want me to email you a list of the top knee surgeons in London ? I've been told who is the best for PF problems too. You really should get another opinion.

I am so lucky that my OS doesn't rush into surgery and is waiting to see whether my right knee settles down.

Keep your chin up !!!!  :D
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on August 27, 2008, 03:14:24 PM
Joanne, I just wanted to say that I am so sorry about what you are going through.  I do understand some of it.  My husband would be the same way yours is right now.  Of course I don't have kids, but the simple inconveniences of me being immobile are what he'd complain about.  I am not going to give you advice b/c I don't know what to tell you.  I am soooooo sorry for you and wish I could do something to help.  Keep me posted on everything!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 27, 2008, 03:15:37 PM
I couldnt go up and down to London to see an OS, the logistics are just too difficult for me with kids and too expenisve . Its really hard here as our system doesn't lend itself to getting to see different OS like that, as probably the best OS in Scotland I'd say will work out of Glasgow and Edinburgh of which I am seeing the best  - he consults in both.  The thing is my OS is regarded as a knee specialist ....I dont know. My options for other opinions in my area I dont know where I'd go as he is known to be the best.

I think my point is I want to know this is not a stepping stone, I want this to be the end result, so god forbid this didn;t help what next ? As like you say I'm not spending another year jumping surgeries.

Since childhood I have had a knee issue which noone has ever been able to put their finger on. I know my OS wouldn't have done the LR firstly without some medial stabilisation and with the infection maybe there is scar tissue developped. Don't know, limited choices and need time to ponder on this one. ::)
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 27, 2008, 03:17:41 PM
Thanks guys...forgot to say all your advice is much appreciated :)

I have a feeling my pain levels will dictate this over the next 2-3 months.

Thanks for listening  :-*
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on August 28, 2008, 01:11:56 PM
Hi Joanne,

Just posted some pictures of my puppy on my post-op diary. Should make you smile !!!
Title: Re: Patella stabilisation post op diary
Post by: tanyap on August 28, 2008, 01:47:05 PM
Hi Joanne,
Maybe the best thing is to make a list of questions - ask your OS the questions, and then if you have still got reservations that may require getting a second opinion then check that out? One thing Id ask him is did he not check the tracking at the time of surgery and if yes, then why has it gone wrong - could it be scar tissue from the infection?
Its not a big deal if he only wants to scope to remove scar tissue but re-doing the LR or 'nipping' the muscle (dont even know what that means) is a much bigger deal.

Youve already been through a lot with it, he needs to know that you are not going to do more unless its considered as a final solution.

In saying all that - you cant continue on as it is, so something will have to change.

I hear you on the buckling, I buckled on the way into a meeting in work today and fell into the person in front of me - very professional eh? I dont tend to buckle much though - if there is no one in front of me I can usually recover myself without falling over!!
xx

Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 28, 2008, 07:18:26 PM
Tanya....ahh the joys of knees !

The reason he couldnt have foreseen this is because only since he done the patella stabilisation have I been able to use my quads. They now have something to pull against as such, before my knee cap was like a ping pong and there was never any way my quads could build.

Now that they have built since the surgery for the first time since the LR they can see that the LR either was not complete, or released enough or scar tssue. I have a feeling the first surgeon didn't do a great job...I know from what happened after surgery as my knee was a nightmare all this time. Since the patella stabilisation is the first time I have been assured my patella wont dislocate but as the quads have built we see the huge pull of the lateral side and when I contract they say my patella is coming way off. The OS commented to the PT when did she have the LR with Mr (name)...not mentioning him ....and PT told him and the OS just shook his head to him and said how , there should never be that pull after a LR. It cant have been released enough or else its scarred very badly.

So I believe that this OS and myself  could not have predicted this, when I had quads and went in for my first LR I expected that OS to take appropriate measurements and do release as required. Since that op my knee went and in the last 3 months I have now got quads but the lateral pull is massive and as said above so strong that the VMO doesn't have a chance.

So I agree that was my first thought why didnt he fix it during the op, but then it could never be predicted until I was able to fully contract my quads which I have not been able to do until I had this last op.

Dont know if I am explaining this very well at all....hope you get what i mean.
Title: Re: Patella stabilisation post op diary
Post by: tanyap on August 29, 2008, 09:28:39 AM
Hi Joanne,
I do get you - he wouldnt have been able to mechanically reproduce whats going on now in the op cos the muscle just didnt exist to demonstrate it and if he checked the tracking the assumption would be that the whole quad set would build at the same time so youd get the balance of vmo against lateral quads, but thats not happened and now you have lateral quads and no vmo and there is an underlying physical problem that wont let you get vmo going.

It could just be scar tissue, but he wont know that unless he scopes it. I think you probably have to go for it dont you? Removal of scar tissue really is not a big deal.

But in the long run there is absolutely no point in you killing yourself with PT and building the worlds biggest lateral quads but no vmo movement cos you wont have control of your knee then. I did it for 3 years and I did have great lateral quads but cos the brain was inhibiting all movement that engaged vmo the best I could do with it was build it with the e-stim and specific exercises - but it stillwasnt as big as it should be - in the past 3 months - no e-stim and less exercises than before its doubled in size. So I believe that if you cant physically build it you need to get the underlying issue resolved.

Hope that helps - you must be annoyed, confused, and really ticked off at this stage with your knee.
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 29, 2008, 10:42:34 AM
Tanya

Thanks you pu it into words far better than me.

I phoned my PT this morning who basically said look this is the next logical step. You may have to accept that you may face surgery in the future with your knee, but you use it as milestones in your life to keep your knee functional, its a journey not a jump. It may also get to the point where he said they cant do any more but right now this is the next step and he cant do anymore to help me just now, he is there for support etc but we need this checked out before further progress is possible.

So I am due to go on hols 7th Oct, OS could schedule me for 18th Sep but just in case I think its too close to my hol, then I get my puppy last eek in Oct so dont want to do it then so I have went for 21st November. Gives me time to get my head round things.
How are you doing ?
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on August 29, 2008, 11:00:57 AM
Hi Joanne, I think you have made a wise decision on what to do .  I knew that you would even though it was a difficult one.  Since it appears to be rather a mild surgery (unless they find out more while in there), then go for it.  It couldn't be any worse than your infection surgery recovery.  Ya know?  YOu have been through so much, so what's one more thing?  I do hope it is the end of the road for you after this though.  That would be nice, wouldn't it?  How has your husband been lately?  More supportive now?  If not, maybe he should go to one of your PT appts or something and talk with them about it so he sees how important it is.  My husband didn't know how important my surgery was until he went with me to my last pre-op appt.  Then he was all for it.  He's frustrated now of course, but still supporting me as much as he can.  The money is the only problem that we have.  Insurance covers most things, but copays on doctors appts, PT appts, and medications all add up.  Well I hope things turn out well!!!  Sorry about all you have to go through!  Just keep thinking positively!

I'll be back on Monday night from my weekend trip to Ohio. Have a good weekend!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 29, 2008, 02:12:13 PM
Thanks farrah  :-*

My hubbie says to go ahead but he wont consider it until November as he is busy at work, what annoys me is he rants but when I tell him to be educated in his opinion he says he is not interested in doing the reading etc, he knows I have done it, this frustates me so much. He would come to my OS but he would jut walk in and rant and then I'd feel embarassed and in a position so I'd rather him not go as I feel he handles situations like that badly when his emotions get involved.

Insurance will cover the op but I have no outpatient cover any more. SO all PT and Os apts etc would require us to pay which is another reason I will do PT at home now as it seems going to PT now would be flogging a dead horse so to speak.

The pain I have makes me wish I coud go sooner but dont want to mess up my holiday...which will be painful but I can at least walk and so not doing it before then. I go 7th to 18th Oct and the following week hope to collect my puppy. :) :)

It was born last night  so am waiting to have onfirmed that they have one for me. I think its 99% but will be happier hen they show me.....I have seen piccies and am waiting to see whch one is mine.

http://www.perfidelis.co.uk/10.html

I would like the blenheim one which is the white one with little brown markings.

So I hope so much....hope to hear tonight but I guess it depends if soemone else has picked him

SOOOOOOOOOOO excited I'm as bad as my kids !
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 29, 2008, 02:14:27 PM
Have you noticed how letters are missing in my posts......I think my keyboard is playing up.

Either that or I have gremlins in here somewhere :-\
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on August 29, 2008, 09:39:55 PM
Hi Joanne,

I think you have made a wise decision. It can be hard when you've already had surgery before.

Can't understand the attitude of your husband. He obviously has no idea what you are going through. My Mum is exactly the same. Maybe you could point out to him that this operation is not nearly as major and the recovery shouldn't be as long.

That's exciting news about the puppies being born. At least that is something to really look forward to.
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on August 29, 2008, 09:41:55 PM
Awww, those puppies are sooo cute !!!
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 29, 2008, 10:13:19 PM
I think we managed to get him. Got a lovely e-mail from the breeder tonight saying he is ours :0)

So excited !

I did tell my other half that but he has lost track of surgeries now and am trying to remind him a scope wasn't so bad .

Have a good weekend everyone
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on August 30, 2008, 11:12:08 AM
Hi Joanne,

That's very exciting news re the puppy.

I think I have found a place for Rusty and I to live. Should hear by Wednesday. So sick of looking at places, so would be great if it worked out.

It's ashame your hubby doesn't understand. My parents don't either. So, don't worry about it.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 30, 2008, 08:26:43 PM
Thanks I am so excited  ;D  :)  ;D

We have decided to call him Ben !

if you want to see him hours after he was born check out the link in my post above. He is the little white ine with tan spots ;D
Title: Re: Patella stabilisation post op diary
Post by: kathat on August 31, 2008, 12:02:57 AM
Hi Joanne,

Wow!! Everybody seems to be getting puppies!!! They are all so gorgeous!!

Sorry to hear you have more surgery on the cards. What a bummer. I hope it's a solveable problem and you can soon put all this surgery behind you and enjoy life.

I have gremlins in my keyboard too - sometimes I get doubled letters, and sometimes missed letters. Oh well. It keeps me on my toes!!

Take care, and enjoy your puppy when he comes.

Kathy xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on August 31, 2008, 08:05:42 PM
Kathy

Its so good to hear from you :) How are you, hope all is going well. :-*
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on September 01, 2008, 07:20:44 AM
Joanne....Congrats on the 'newest addition to your family'. ;D :D Bet you cant wait to bring him home!!

Sorry about the new knee news. But hang in there....things will work out.

hugs....DONNA
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on September 02, 2008, 12:57:59 AM
Hi Joanne...when you showed that link, I loved the blenheim and the black and white ones the best!!!  I love Cavalier KCS!!!!!!!!!!!!!!!!!  THey are just the cutest dogs!  I bet those little brown spots on Ben will get darker and larger as he gets older.  Make sure you housetrain him right away when you get him home and teach him that your house is his den.  Otherwise, he may lift his leg on too many things in your house.  It took us a while to teach that to our jack russell, but now he is great.  He never lifted his leg though, but always squatted like a girl.  SO he never got anything on the furniture thank goodness!  Anyway, I'm so happy for you and your new puppy!  I can't wait to see more pics as he gets older.  Will the breeder let you visit and also send your more pics?  I hope so.  I have never seen all brown Cavys before.  I wonder what they look like as adults.  I have also not seen the black and brown ones either.  Oh well...not a pro with all breeds :) 

So sorry about your husband, Joanne!  It doesn't make the situation any easier on you!  My husband has improved sooo much.  In fact, he took this weekend very well when every family member asked what happened to me.  Sometimes he even helped explain it.  Well dinner is ready now, so I had better go.  I hope your week goes well!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: tanyap on September 02, 2008, 11:43:12 AM
SO CUTE!!!!!!!!!!!!!!!!

Everyone IS getting puppies!!! I want one!!!

Joanne you have made a wise decision about further surgery.
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 02, 2008, 12:43:19 PM
Thanks for all your kind wishes guys, you brighten my day always without exception.

Real life just now has a lot of hassles and stresses going on and there are days where I wish I could just climb inside my laptop and sit there *sigh*

Anyhow keep on going, no other choice.

Hope you are all having a much better day than me
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on September 02, 2008, 12:51:26 PM
Hi Joanne,

Just dropping in to say hi. Any more pictures of the pup ?

I am hoping to have answers on one of the places tomorrow. Then, I'll know when I can get my pup. Can't wait !!!!

You will get there. It's just a long road and we have challenges along the way, but you'll get there.

Tonight I saw my sports physician and can start some exercise for walking. Very happy about that !!! I was going mental not being able to do much exercise and my body has been screaming in pain as a result !!!
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 02, 2008, 07:37:14 PM
Kirsty that is excellent news, being able to do something physical is mentally uplifting if nothing else. I am so pleased for you.

In many ways just now is a relief not having constant physio sessions and I just do what I can at home. I will wait until I hear from PT rather than arranging more sessions as if I go through with surgery it will all kick off then.
Title: Re: Patella stabilisation post op diary
Post by: tanyap on September 03, 2008, 09:40:29 AM
Hi Joanne,
I think that most physio (when its literally just doing the strengthening exercises) is fine to be getting on with at home anyway with visits to check progress. Mine only ever saw me once a week when I initially went to her and then immediately after my scope, other than that its been me getting on with it but Ive dropped in if I had any problems. I think you'll do fine doing it at home.

Have you made a final decision about further surgery? When are you seeing your OS again to discuss?
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 03, 2008, 10:02:38 AM
I have no appointments to discuss it with him, he said if I want to come back and discuss make an apt (but it costs) so what I usually do now is just speak with my PT who gets me all the answers and this is not nearly as expensive. I suppose I could ry and phone him but I asked all the Qs to my PT who is away on holiday with the OS this week so I figure I will get all the answers on his return
Title: Re: Patella stabilisation post op diary
Post by: tanyap on September 03, 2008, 10:05:44 AM
I suppose part of it is also 'do you want to love like this' - as he has already said he thinks you need it so its up to you if you want to go ahead.
god its so complicated isnt it?
Im off to my GP now about my hayfever, I havent taken my hayfever tablet yet today so i can snuffle all over her :~)
later.....
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 03, 2008, 12:55:47 PM
Latest pic of Ben  ;D

Tana hope you go ok at the docs, hope she can give something to help with the hayfever.

How is everyone else doing ?
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on September 03, 2008, 01:37:12 PM
Hi Joanne,

He's very cute !!! It will be interesting to see how he develops.

In a lot of pain tonight with my back and knees. Could scream !!! Updated on my diary. My boss is a nightmare !!!

Hope things start looking up for you.
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on September 04, 2008, 02:17:46 AM
OH my gosh is he just sooooooo cute!!  I know he probably weighs only half a pound, but I want to pick him up and squeeze him!!!!  I can't wait to see pics as he gets older!!  My babies have been cuddling with me tonight since I have been sooooo tired and in pain while laying down.  They woke me up barking like crazy, so now I will be up for a few more minutes until Ambien and bed time.

I hope your home PT is doing okay for you.  I hope you are feeling okay physically through everything.  Have a good Thursday.

Farrah
Title: Re: Patella stabilisation post op diary
Post by: tanyap on September 04, 2008, 10:53:54 AM
oh. my. god. SOOOOOOOOOOOOOOOOOOOOO CUTE!!!!!!!!!!!!!!!!!!!!!!

I just want to squeeze him to bits!!!! He is GORGEOUS!!!!. Look at how squashy he is!!!!
How on earth are you going to live your life without stopping to cuddle that little cutie every 2 minutes!!!!

Im SOOOOOO jealous!!!! Youre SO lucky!!!!!

Hows your knee doing joanne? Got my hayfever sorted - posted on my diary - feel much lighter in the head today :)
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on September 04, 2008, 01:20:22 PM
I LOVE PUPPIES!! ;D ;D
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 04, 2008, 09:04:35 PM
I am just having a down few days but will bounce back. I feel my knee click all the time and it gets painful but not crippling me, so its not great but not horrendous....however its the damage I know its doing so I just hope I am doing the right thing. I reckon its the sudden giving way thats the most worrying.

Anyhow thank you Ben does look so tiny and cute, he is I believe 380 grams just now but boy will he grow. He wont be massive when we get him but certainly bigger than that. I cant quite believe it.

How is everyone, sorry f I havent visited your threads but I am not sleeping well. I get to sleep and wake up witht he ache and then struggle to get back over. I find tramadol and co-codamol dont really help anymore so either my body is used to the tablets or my tolerance to them or pain has changed.

Will be back to form and seeing how you all are in a day or two :)
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on September 05, 2008, 01:25:42 AM
Hi Joanne, so sorry about your difficulties.  Just keep thinking of that cute little puppy that you get in a few months!!!  I can't wait to see what he turns out like color wise.  He looks like he will be a cream color with brown spots....I guess that's what Blenheim looks like.  I haven't seen one in a while.  I have never seen a black and tan one like the mother is....she looked cute. 

I hope that your mind eases soon.  I'm sure it's all over the place.  I'm glad the pain is not too awful usually.  Well have a good Friday and weekend.

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on September 05, 2008, 02:01:01 PM
Hi Joanne,

Sorry to hear you are having a few down days. I've had a very stressful week and been struggling to stay afloat. My pain is been really bad too. Just glad it's the weekend now.

You'll be surprised how quickly Ben grows. I was amazed when I saw Rusty a couple of weeks ago. He will be 4 months on Monday. Can you believe it ?

Take it easy. Things will get better. Just important to look after yourself right now.  :)
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on September 06, 2008, 04:09:59 AM
I pet a Cavalier King Charles Spaniel puppy at the pet store today!!!  He was so cute and going nuts.  He couldn't focus on me at all...just ran in circles over and over and over.  Then I pet a jack russell puppy who kept going after my shoe laces.  I went to the pet store to waste some time today...long story.  I sat down while doing it, so I didn't hurt my knee at all.  Have a great weekend and I hope you feel okay...well as good as you can.

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on September 06, 2008, 01:28:35 PM
Hi Joanne,

How are you doing ? I had a pretty tough week but got through it ok.

The house I want is pretty much mine. Just got to see through it once the landlord gives the real estate agent another set of keys. Hopefully it will be sorted this week and can get my puppy in 2 weeks.

I have also been looking into getting Rusty microchipped. It's compulsory in Victoria now. If you get it done through the council it's much cheaper. I will ring about it next week.

Today I went to look at some fridges and washing machines. Tomorrow I am going to look at some more couches and some other electrical places.

Enjoy your weekend.  :D
Title: Re: Patella stabilisation post op diary
Post by: tanyap on September 07, 2008, 07:15:08 PM
Hi Joanne,
well my sinus infection became much bigger than i thought it was!!! i just felt awful all weekend, but i still needed retail therapy so i went out and bought a couple of duvet sets :)
we have a jar that we both donate into each month for 'house' items, we got a tv, dvd player, couch and now duvet covers out of it. its great cos even if im personally broke i can spend jar money on house stuff to satisfy the retail therapy needs :)
so i think im better now, my sinuses feel fine. but my stomach feels off. i am not sure if its the nasal drops or the new hayfever tablets, i suspect its the drops though. ive just stopped taking everything today as i just wanted a day without any medicine. i think the sinus infection is gone anyway, the hayfever i just dont know.
so tomorrow is my first day in physio in 6 weeks. so im looking forward to telling her ive progressed.
i tried two new recipes today, 1 success and 1 failure. the success (luckily) was actually the sunday dinner. the failure was chocolate shortbread biscuits - they are horrible :) well you win some you lose some eh?
im pretty tired now so will sign off and flake out on the couch. its been common this weekend to have bursts of energy followed by being wrecked.
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 08, 2008, 06:47:25 PM
Wow Tanya I am impressed. Ill or not you have done more than me.

I went for an overnight with a friend last night to a spa in the middle of the Scottish countryside with nothing but fields and hills around us. It was nice but today my knee is sore.

Anyhow will reply to everyone properly tomorrow.

Kirsty, great news about the house, hope it all gets sorted ASAP for you and Rusty :)

Farrah there are 4 colours of Cavaliers:

Blenheim - like Ben creamy white with tan blothches
A Tri colour - black, white and some tan across the face

Black & Tan
Ruby - which is the tan colour all over.

He is doing well and am hoping for updates soon :)
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on September 09, 2008, 01:08:18 PM
Hi Joanne,

Well, I got the house I really wanted. Just waiting on the paper work now. So, now Rusty and I have a place to live.

Work has improved a bit, but the TAC crap is still continuing. Just absolute rubbish. Updated on my diary.

Hope you aren't feeling too bad. I'm in a lot of pain but think it's due to the stress I have been under. Hopefully it will improve soon.
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on September 10, 2008, 04:47:37 AM
Hello Joanne....Just stopping by to say hello and let you know I am thinking about you and hoping you are feeling some better these days. Ive been doing more reading than posting lately. But still have you in my thoughts and prayers....

Take care.

Hugs....DONNA
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 10, 2008, 03:11:51 PM
 thanks donna

You have days where you have nothing new to say. Same old knee issues so you don't post.  I say that because I am the same. I just get to a point and think what else is there to say ?

Anyhow I so hope your kit arrives soon to get the tests done. Chin up and WE WILL get through this.

I have no news really. My PT is due back to work Monday so I may hear from him. The irony is my OS offered to do the op next week but I said no as I am due to go on holiday a couple of weeks after and despite it only being a scope my past record leaves me cautious. Thus arranged for November.

It's weird having 2 weeks with no PT / hosp apts has been nice.

Waiting on new photos of Ben and a video which will go on you tube.

How is everyone else ?
Title: Re: Patella stabilisation post op diary
Post by: brianne on September 10, 2008, 03:26:44 PM
Joanne,

Totally random...but my dogs name is Benny and I call him Ben all the time! :)

Yay for puppies!  I actually almost got a Cavalier but ended up getting a Cairn Terrier. (or should I say Cairn Terrorist?)

Brianne
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 11, 2008, 01:14:25 PM
LOL Brianne

We can keep Ben notes together :)

Is that him on your avataar...he is cute !!!!
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on September 11, 2008, 01:41:01 PM
Hi Joanne,

Can't wait to see some more photos of Ben. It is only about a week until I get Rusty. Can't wait. Will post some more pictures when I get him. Just wish I could go walking right now. My right knee is really slowing down the rehab of my left one.

Signed the lease today and paid the bond. All happening now.

Chin up, things will get better. I was having another think about doing a second lateral release. You should only ever have one from my understanding. Maybe you should try and get another opinion. Just some food for thought.

Enjoy your weekend.  :)
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 11, 2008, 06:57:19 PM
Thanks Kirsty :) Cant wait for the new pics of Rusty.

I am trying to get photos downloaded of Ben but they are on  an adobe album and I cant seem to save of it. If you want to see Ben

Scroll through the photos to NUMBER

30
37
52

These are the close ups of Ben.

http://www.perfidelis.co.uk/10.html

If anyone can figure out how I save them or download them from there please let me know.

Thanks

As for the LR the OS said he will remove scar tissue from it and ensure it was released enough. I said what di it again and he said no, its already been done, just ensuring all is as it should be.
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on September 12, 2008, 03:38:42 AM
Oh my goodness, he is SOOOO cute!! ;D

Donna
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on September 12, 2008, 09:42:11 AM
Hi Joanne,

He is soooooo cute !!! I particularly like picture 52.

That's good regarding the lateral release. Was just a bit worried about him re-doing it.

Glad it's the end of the week. It's been a long and tough week. I think a new chapter is about to start for me now.



Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on September 13, 2008, 05:01:42 PM
Joanne, Ben is the cutest!!!!  You are so luck you were able to choose that one out of all of them!!!!  Those pictures were so adorable.  I looked through almost all of them and could see Ben growing slowly.  :) 

I am glad you kind of figured out what the surgery will be about.

I hope you are feeling okay today and having an okay weekend!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: tanyap on September 14, 2008, 11:42:05 AM
TOO cute!!! Im squirming here at the serious cuteness!!!
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 14, 2008, 11:45:45 AM
Tanya YAY !!!!

I was worried about you.

Hope you are ok.

Thanks guys, we were very lucky to get him as he wasn't expected. Mum is a black and tan, Dad is ruby so to get a blenhim was a huge surprise and as soon as I found out he was a boy I asked the woman could we have him. She e-mailed me and said "about your news son LOL" :)
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on September 14, 2008, 11:50:32 AM
Hi Joanne,

How are you doing ? I often think of you and hope you are ok. It's very trying going through something like this.

The puppy will help to keep you going. It certainly has kept me going. Can't wait to get Rusty now. He will be my pride and joy.
Title: Re: Patella stabilisation post op diary
Post by: tanyap on September 14, 2008, 11:56:10 AM
Joanne Im grand, go over to kirstys diary for my tale of whale watching in west cork over the weekend. It was great!!!!
Am just off to have brekkie - will log back on later.....
xx
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on September 14, 2008, 02:23:47 PM
Joanne,

That's so cool that the blenheim wasn't expected.  The one I pet at the pet store was the same color and so cute.  They had him for a bit longer than they usually have puppies, so when I got him out to play with he went nuts!  He loved the freedom and didn't even pay attention to me at all.  Poor thing needs adopting :(  I got Aury at that same pet store and she was there longer than they usually have puppies as well.  She was 3 months old when we bought her.  So we missed some puppy age, but it's okay b/c she was current on all of her shots!  They don't get rid of their puppies until they are adopted, so don't worry.  I know some pet stores kill them after a while.  I can't believe that!!!!  Anyway, I love my babies!!!!  Aury is so cute and cuddly and Marshall is just a pain in the butt!!  Right now they are both sleeping for some reason!  I guess we were up too late last night.  I love when Marshall sleeps though!  He's so cute!  I took some pics of him a few days ago...I will have to post them here for you. 

As far as taking the pics from that website, can you ask the lady for them to e-mail to you?  Otherwise, you can do computer quality images by doing print screen and then pasting it in a picture editing program and save it.  The print quality isn't good that way though.  The breeder seems nice enough to e-mail you those pics anyway. 

How has your knee been, Joanne?  Same as always?  Nothing better?  I hope your weekend has been great!

Love ya!!!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 14, 2008, 07:27:52 PM
Thanks all for your posts.

My knee is same old same old, I sort of walk with it slightly bent as when I do the whole pull straight thing the grind although not sore at the time makes it sore later. When I try to sit down and straighten my leg from a sitting position and lifting my leg out in front of me straight oh but that is sore and its a major click to straighten. Kneeling on it is bearable just, but move forward at all and its NOT at all !!!

I often think I should just live with it like this, but then I think am I storing up trouble for later on as does this mean the grinding will erode the cartilage underneath...it cant be good long term I'm sure. So the pain although bad at night I am coping , I even want to try and go to the gym this week. Its sore but again I know I cant live longterm on painkillers at night. Tramadol has no effect anymore. I take them at night to try and sleep with it as it aches, but now even taking 2 I dont feel anything change, the pain is there.

So long term I think I have to give the surgery a go. At 34 I am too young to be on painkillers everynight for something they think can be solved and and aso logic says if I let my knee continue to rub and pull laterally apparently by at least an inch it will cause problems for me for the future.

Other than that the woman did e-mail me some new piccies of Ben. She said he wouldn't keep still so this is the new photos - cose ups:

Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on September 15, 2008, 12:16:51 AM
Ben is sooooo cute!!!  Sorry for all the difficulties that you are still having with your knee!!  Ask your OS for new pain meds, Joanne!!!  I'm thinking about you and your new puppy!!!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 15, 2008, 09:16:00 PM
My PT is back this week and he may phone me, don;t know. We left it that unless I have the surgery there is little more PT can do for me so he may phone to see how I am or he may not. I will wait and see I guess.

How are you all doing today ? Any plans this week ?
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on September 16, 2008, 02:16:25 AM
Hi Joanne, I hope that your PT calls you back just so you can talk to him some and maybe get some more questions answered.  I know sometimes it's difficult asking your OS everything during the short amounts of times that you see or talk to him.  I never end up taking lists with me, so I never remember what to ask any doctor!!  Oh well...does your PT already know about your plans on having surgery.  If I remember correctly, he was there when your OS talked to you about it. 

I don't have any special plans this week except that I am now planning my sister's bachelorette party for this Friday.  She called and kind of asked me too.  Unfortunately, my friend whose wedding is on the same day as my sister's, is having her party during the same night as the one I am planning for my sister!!!  :(  So I will be torn on whose party to go to since I have already celebrated my sister's wedding at the bridal shower that I planned for her a few months ago.  I will be out of town for my sister's wedding, so I can't go to my friend's either.  So that's why I would want to go to my friend's bachelorette party instead of my sister's (maybe).  The other thought I have is that I should go to my sister's to take care of her if she drinks too much since she took care of me on my one day to ever get drunk on my bachelorette party just over 2yrs ago, but I also HATE seeing my sister drink since I don't like drinking much at all even when I am not medicated.  Well you asked "Any plans this week?" :) SO there is my response.  How about you???  I hope you get more pics of Ben as he gets older and bigger!!  He's too cute!

Well I hope you have a calm and relaxing week if possible!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on September 16, 2008, 03:29:25 AM
Hey Joanne...Dont you hate playing the waiting game with docs/PT's? Hopefully you will get that call soon.

As for my week, Weds. is my appt. with my OS's colleague. So anxious to see how that goes. Friday is our 'date night'. And Sunday is my birthday. So a few things to look forward to.

Hows the puppy?? Any more news about him? When do you get him? So exciting!

Hope the rest of your week goes well....

hugs....DONNA
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on September 16, 2008, 01:55:41 PM
Hi Joanne,

I love the photos !!! He is soooo cute !!!

Don't worry, I understand what you say about your knee. I am the same age as you and couldn't keep going the way I was. The last operation I had has made a huge difference to me. It will take a while to understand what limitations I have and what it means having early arthritis. I have a lot of grinding, but is getting better with time. Hopefully yours will too.

Have you heard back from your physio yet ?
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 16, 2008, 08:14:38 PM
Farrah

Oh its a toughy, have you decided which bachelorette party you will go to ? Are you a bridesmaid to your sister ? Over here we call them hen parties and its the bridesmaids that organise it and do it and all the fun that go with it. I am not a big drinker anymore ...oooh thats sounds bad. I was never a big drinker in any way but alcohol features even less now cause of the meds.

My pain level tonight is terrible and I dont know why, I dont think I have overdone it today at all but tonight I have tried taking co-codamol instead of tramadol to see if it helps.....so far it hasn't.  I guess this is a small taste of what some of you go through all the time and I know how I feel with my pain levels up tonight so I take my hat off to you all. I know how much I am struggling tonight :)

Hope you guys are all ok
Title: Re: Patella stabilisation post op diary
Post by: tanyap on September 17, 2008, 09:55:47 AM
Hi Joanne,
Sometimes pain just decides to take a visit eh? On sunday evening I had quite a bit of pain - for no reason! Didnt do anything out of the ordinary on sunday, just had pain that night, was gone when I woke up on monday. God knows what the body is doing.

Did you hear from your PT or is he just hanging out waiting to see what happens with you?

Joanne my PT said its not a surprise I cant wear heels yet as Ive trained the body to off load the weight from my knee and wearing heels forces the load back on so I wonder if you could arrange one of our physio girls over to my place so she can work away on the strengthening while I strut about in a pair of shocking pink 6 inch spike stillettos for an afternoon?

Im getting a bit pee-d off at how much work I put in yet my muscles dont LOOK any bigger in ages!! I do feel a difference alright but my leg still looks like a skinny leg compared to the good side - sigh!!! Im wondering if I should go to the doc and say in my most sane voice 'Id like an injection of muscles please'?

Can you move about easily now Joanne?
xx
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on September 17, 2008, 11:58:12 AM
Hi Joanne,

It would be lovely to meet some day in beautiful Scotland.

Sorry to hear you've been in pain. My pain seems to vary a lot too. Sometimes it's just not fair and just had enough.

I understand that night pain can take a while to go. Fortunately I don't get any pain at night now. Mine is mainly in the day when I am walking. Felt like a woman of a 109 years old today. I must look so awkward.

Hope you are feeling a bit better today.  :D
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 17, 2008, 03:12:31 PM
no heard nothing from my pt which annoys me a bit but then I realise I am selfish and one of probably 100 on his current schedule and we have had several conversations already about my situation. He is only just back so I am sure in a week or two he will be in touch.

I decided to go swimming today with my 4 year old. Well as much swimming as is poss with a child in Arm bands like a limpet round your neck. Anyhow got a few lengths and tried to swim up and down with her. It was painful at the time but so far not agony but we will see what happens later on. I really cannot work my knee out at all.

Waiting to get my 7 year old from school just now and tomorrow I hope to go a walk. I figure I am as well pushing myself just now to see if I can live like this. I am kidding myself really but can't bear to be so inactive I feel I am ready to implode and need exercise.

Anyhow hope all is ok with you all :0)
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on September 17, 2008, 08:05:15 PM
Joanne, I have now organized my sister's bachelorette party at the same location as my friends!!!  We will have them organized completely separately, but at least now I will see my friend as well.  How smart of me?  :)  My friend doesn't know where her party will be at, so I have lead her to believe that I will not be able to attend b/c of my sister's party!  So it will be a nice surprise.  The place is a latin dance club type of place where you only buy appetizers for food...and then drink.  It will be fun for everyone...unfortunately no dancing for me :(  I hope I can even make it through the night.  I am putting myself in charge of my sister's transportation, so I have to stay the entire night.  It's probably a mistake for me to do that, but I am her big sister and the matron of honor. 

Sorry your PT hasn't called!  You can always try calling him again if you need to get some more questions answered.  Swimming is a great thing to do.  My PT told me to get in a warm pool and move around whether it's floating or walking.  SHe said if I can't find a warm pool to warm up and then get in a pool to move around.  So being in a pool is a good thing!  Of course, she said do NOTHING that hurts, so if it hurts you, don't do it. 

I hope you had a good day today and hoping your pain was tolerable! 

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 18, 2008, 04:11:54 PM
Smart move Farrah....Genius in fact. You get to please everyone else even if not yourself with your poor knees. I so hope you get a chance to rest somewhere. What a lovely surprise for your friend ! Also at least you have fulfilled all your matron of honor obligations this way too.

I hope your sister enjoys it but I so hope you get some fun too if at all possible :)

I phoned and left a message for my PT today. I feel I can move my patella lterally quite a bit, its certainly got looser since the op in May and I dont know if its because the lateral pull is so strong it is stretching my medial tightening. The OS did say that ligamnets can stretch and given I used to be quite flexible he said I probably have quite stretchy ligaments and he hoped they would not stretch too much. Anyway I can pull my patell over laterally until part of it sticks over so much I can feel underneath that part. Surely with my medial tightening I shouldn't be able to do that ? I mean part of it is tethered I dont think I could push it off....well I havent tried lets put it that way  :o and why would I, but I am sure thats looser than it was after the op ? When I contract it still pulls patella letarally so maybe its the constant pulling....I don't know.

I phoned but my PT is away now for the day so he will maybe ring me tomorrow. If I go see hime I have to pay as I am now out of insurance for outpatient stuff until January 09 or should I ask to see the OS now ? I need to pay him too but dont want to go if the patella should be that loose...or maybe its just the top of that swings over and the bottom is anchored...I dont know and dont want to bring any surgery forward.

At least in November I may only have 2 0r 3 apts before xmas and then I can say wait until Jan when I get cover again.

I wish I could film it and show you on youtube but dont even know how I would :(

Sorry if I am making no sense here at all. Thinking aloud.

How far can you push your patella over  to the lateral side ?
Title: Re: Patella stabilisation post op diary
Post by: tanyap on September 19, 2008, 10:07:59 AM
Hi Joanne,
Can I just say - i never ever push my kneecaps anywhere!!!! uuurrrrghhhhh - i feel shivery even thinking about it!!! However I will have a push on your behalf and see what happens. oooh...didnt enjoy that. Right - I can push both of them over laterally such that they poke out in mid air a bit and you can touch underneath a bit - but the underneath bit is not sticking out that far, Id say only a couple of millimetres.
But kneecaps are meant to have some amount of give in them - thats normal. However, if you feel its sticking out too far when you do that then have it looked at. What about your other leg - does it go the same distance? If it does then its probably ok.

You could have PT look at it - he'd know. And he;d be cheaper than OS?
And in the meantime - stop pushing your kneecaps about!!!
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 19, 2008, 10:42:57 AM
No my bad knee I can push over more and I can push so I can feel maybe 1.5 cm or more of the underneath. The good knee I can push over a little but it feels much harder to push and I'd say it is 0.5cm or less I can feel.

LOL I have vissions of folk doing this now. It feels horrible to do it to my good knee as its tight to push and feels restrained...which I think is normal.; My bad knee I can push quite the thing and only when the medial tightening thing that the OS done kicks in does it feel tighter but then I amn't pushing it hard....nor would I want to. But I just think it shouldnt even do that now...should it ????

AAAhh who knows. I will wait and see if my PT phones me.

How ya doing today Tanya and many thanks for the knee pushing LOL :)
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 19, 2008, 10:52:12 AM
stressed out today. My husband works for HBOS and those who dont live in the UK maybe wont know what is happening but on the back of leihman brothers HBOs nearly collapsed and now its been taken over. I am praying his job will be ok.

We are supposed to take the kids on holiday  in a couple of weeks and hubbie says we will still go as we would lose out if we pulled out. So we are going but I am now worrying about everything.

Anyhow hope you all have an ok day
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on September 19, 2008, 12:21:35 PM
Hi Joanne,

I am sooooo sorry to hear about the added stress you are under at the moment with your hubbies work. It must be really stressful. I know that when I worked in the UK the company I worked for was taken over and was stressful knowing if I still had a job or not as I was on sick leave at the time.

Don't touch your knee cap. Maybe you need to be wearing something like a hinged brace to keep it in place until it gets stronger. I had to use a hinged brace for a couple of weeks after my op and made a big difference. I think you should definitely get in touch with your OS. Doesn't sound right.

Hope you are feeling ok. I am praying for you that your hubbies job will be ok.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 19, 2008, 05:00:55 PM
Hi guys

Well I spoke to my PT I rang him again. I said to him I was worried that my patella was looser and he said the constant lateral pull could be stretching the medial tightening. He doesn't feel it will be stretching to the point of dislocation but certianly any stretch is not ideal . He said I should consider if waiting until Nov is a good idea but I explained I just cant do earlier.

I said I was just scared now that the OS didnt  know it was getting looser and I didn;t want to turn up in Nvember and tell him then. To cut a long story short I go see him MOnday morning @ 11.40

So we will see what he says
Title: Re: Patella stabilisation post op diary
Post by: Tabitha on September 19, 2008, 05:08:28 PM
I am glad to hear that you got in to see your OS, and a Monday appointment sounds far more ideal than November. Hopefully he will have some answers for you. Sorry to hear about your husbands company, I hope that you can still enjoy your vacation.

Good luck at your appointment!

~Tabitha
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 20, 2008, 12:28:50 AM
Thanks Tabitha - hope you are ok

Sorry my post about PT was so abrupt, waiting on kids to get in from school and dont you know they arrived mid -type.

Anyhow PT said the lateral pull over time if strong will stretch the medial tightening - makes sense. he does not know how much.

I said I was worried that checking out or enhancing the original LR in any way , now with medial being stretched again would leave the knee back with an inability to cope again. I said can he test these things by scope ? He said possibly when under you are obvioulsy more relaxed and he can move, and push the patellas and see how much pull or movement there is. He said it just depends on if he feels work needs done to the outside of the knee now or not. I was worried byt this he meant something like the TTT which I read about all the time for mal tracking. Do you think this is what he meant ?

He said think on it and perhaps consider a chat with Mr M, you could phone him and try chating like that to save you an apt. But I thought how could he possibly give me any ideas if he cant see it, so I decided the £100 or more it will cost maybe a better investment if I go now and let him and see and get an informed decision on where I am and what the future prospects are and surgical options...which now seem inevitable whatever they are.

Either way I cant consider it before November and if he suggests anything more invasive ( and the only thing I can think of is a TTT - you guys can correct me if I have jumped to the wrong conclusion here) then how on earth would I cope with then a 12 week old pup. Doesn;t seem plausible really does it ?

Anyhow, totally open to be bombarded with Qs you think I should ask the OS on Monday.
He made some comment on well it depends if Mr M (the OS) will think about doing anything to the outside of your knee if he feels the scope will not work .
Title: Re: Patella stabilisation post op diary
Post by: Tabitha on September 20, 2008, 02:47:44 AM
Joanne, Thanks, I am doing okay, I think the mornings are just rough. Thanks for the concerne.

Lets hope the PT tightens the medial and solves that issue.

I also hope the procedure he was talking about isn't a TTT because everything I have read makes it sound rather painful. But I suppose you do what's needed to get your knee healthy again.


I pray that things are figured out quickly and you're not left in the dark to long wondering what the procedure will be.

~Tabitha
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on September 21, 2008, 06:09:37 AM
Joanne,

I completely understand your worries about your husband's job.  I hope that it will not be a problem and you are able to have a relaxing vacation.  What type of trip are you going on?  Is it beachy?  Here in Atlanta, GA, most families travel to a nearby beach for a vacation.  We haven't been able to do that this year unfortunately.  Our only vacation is for my sister's wedding this weekend.  I have used all my sick and vacation time for my knee, so that one day of vacation is unpaid :(  It means at the end of the year, as more sick hours add up, I may not get a pay check to make up for those unpaid times away.  Oh well...I will be able to manage it.  I have to remind myself that my health comes first! 

Moving your knee cap around sounds horrible.  I can't do it like that, but I also don't try.  My "good" knee definitely subluxes easily all the time, but I already knew that.  My surgery knee doesn't move as much since I had a TTT.  It still has movement, but that's the way it's suppose to be.  I am so happy that your PT called you and you were able to discuss things with him.  I am also very happy that you were able to get an OS appt on Monday.  How did you get it so quickly?  Did your PT talk to the OS and help get a quick appt?  I am sorry that your medical appts are costing so much lately.  I also understand that b/c it will be an issue for me starting on Nov 1...long story.  When I see my PS on Tuesday, I will ask for any procedure to be done ASAP to make sure I am covered 100%.  I see my back doctor on Oct 1, so I will make sure to tell him the same thing.  I know he can help me with my back pain by trying another epidural or two.  I will also mention this to my OS in case maybe he wants to scope out my other knee just to see what we are dealing with so that I know if I can wait on a major surgery or not.  Any surgery or any procedure or tests are covered 100% right now and would be very important to get them done before the end of October!!!!  So that actually reminds me to e-mail him about this.   I don't want more surgery, but if it's necessary, then I don't have to pay a dime if it's before October.  So that's a savings of a couple thousand dollars....I'd have minor surgery to not have to pay that right now!!!! 

Sorry to go on about that!!  :)  I hope that you get lots of answers on Monday.  As for questions to ask: Is my knee cap suppose to do this?  Is it okay for the surgery to happen in November?  Is there a better brace that I can wear until then to make sure that my knee cap doesn't slide out of place?  Maybe an immobilizer until then for extra protection?  Are there exercises that can be done to make sure my muscles don't get too weak before the surgery but still don't cause more knee problems? 

Okay, have a great Sunday!!!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Tabitha on September 22, 2008, 01:06:50 AM
I stopped by to check out your update, but there isn't one. ::) Hope you are well. I also want to say thanks for all the support you provide me, it's so nice to find supportive messages on my thread each day. You're great!

Hope all is well with you today!

~Tabitha
Title: Re: Patella stabilisation post op diary
Post by: tanyap on September 22, 2008, 10:06:30 AM
Hi Joanne,
Havent had a chance to post here since I pushed my kneecap about :)
Anyway Im very vry glad you discussed it with your physio and that youre seeing your OS about it this morning, even if he says its ok, its better to have it looked at right?
My bloody sinus infection is back so Im off to GP at 1pm today for a moan, reckon Ill have to do antibiotics this time - which I hate. oh well. Ive had a headache all weekend, am just sick of i now and my nose making horrible squeaky sinus release noises!!!! urrrghhhh.....

I dont know if he meant a TTT, hopefully he just meant redoing the lateral release - ask today.

I will check in to see what the OS says to you later on - good luck with it!
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 22, 2008, 10:53:14 AM
Thanks guys, I am about to head off now. I have butterflies in my stomach....how sad is that. I am so fed up with knee saga and dont know what today will bring.

Will fill you in later

Love to all
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on September 22, 2008, 10:58:53 AM
Joanne,

Good luck. I hope it goes well with your OS.

Can't wait to see what he says.
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on September 22, 2008, 11:21:38 AM
Good Luck and I may not be able to read your posts until evening time my time.  I will be thinking about you though!!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 22, 2008, 02:03:01 PM
Well thanks for all the well wishes-  very much appreciated !

It went a b it like this:

I went in and said I had spoken with Ian my PT and he said he now thought it best to speak to you (OS) but I thought it too hard to explain. He said you look as if you have more mobilty and I said I do, I am mobile but my knee gives way constantly, I have no confidence in it at all and I feel the patella is very loose again. He said loose ? !!! ?? (Can't really show suprised voice LOL )

I said look I dont want to keep jumping surgery to surgery and I have scheduled an op date in November already and thought that it best to tell you now rather than on the day as I cant explain this well enough. he said is it sore when it moves...I laughed and said it aches all the time but its so loose that I can move it side to side at will and I am sure it is much looser than when I came out of the top in May.

So he said hop up on the bed and he went to move my patella and said WOW ! I totally agree with you and am amazed. I can get my thumb right under your patella and this is rreally loose. He said you know looking at my first OS notes, he said I know you have had work done laterally (by first OS) but I believe your problem is all medial. We need to keep this medial side tight to allow your VMO to kick in and I actually bleieve we could get the quads firing early and get the VMO initiated which I think would then give you good tracking.

He said your tissues are very flexible and can get lax very easily...he said really easily - given I only had them tightened in May. He said he felt my soft tissues round there would just continue to stretch and get worse and although something he didn;t like doing he felt he would need to look at taking a graft I think from my hamstring tendon somehow (think thats what he said) and re doing the soft tissue tightening. He said he wanted to think over this as it was not a run of the mill problem and he wanted to think how he felt best he would fix it. He said I beat most of the odds on flexible tissues and mine are very stretchy so using mine again that are there just now is not an option, we need to look at grafts.

I said look I am too young to be so immobile, I cant keep taking the painkillers, anyway they have no effect and I just want a quality of life back. He said he totally agreed and that no matter what he was in this with me and he wouldn't abandon me. He would find a resolve.

ANyhow I then went along to physio and Ian wasn't there but another PT was there whom I knew and I spoke to her. I said I didn;t quite take it all in and she said dont worry they would speak to the OS and someone would phone me and explain. I said give it a few days as the OS said he would need to think on which way he would do it and they said ok.
So if anyone can shed any light or give me Qs to ask do let me know. I am stunned and a bit sad that I am going to face another big op again. Definitely in overnight at least, also open surgery again, splint, brace and LOADS of PT....again :(

So thats my update....bit shell shocked right now. Worried about gettign Ben, I have my heart set on him and will be devastated if I cant but by then he will be 3 months and I hope I will have him in a routine by then....wishful thinking maybe but the thought of not getting him  :'( :'( :'( :'( :'( :'( :'(

Surely with my family's help I could cope. My hubbie says no he has his work etc etc and is stressed but I am so hoping we can chat tonight and I will try so hard to be on my feet as best I can to help. I think I would crumple up right now and shrink if I couldn't.
Title: Re: Patella stabilisation post op diary
Post by: tanyap on September 22, 2008, 04:29:13 PM
Hi Joanne,
First of all - you'll cope with Ben. He is a puppy, theyre adaptable and youre not meant to walk them much too young anyway, and other than that - what coping? Put food down, put water down, let him in and out to do his nature calls and make your hubby clean the garden once a week - thats it for a couple of months of new puppy. AND - if I were you Id just get him cos youre hubby WILL take responsibility if he has to. Its easier to ask forgiveness than permission so just do it!!

Now about your knee. Yikes!!! Nasty flexible soft tissues. It didnt sound right how much push you had on it. Im glad the OS has seen it. So he didnt mean a TTT anyway, just more soft tissue work - which is still a big deal but at least its not bone work eh? Dont be sad over it - if they get it right youll have such a better quality of life, you cant live with it giving way on you all the time. And your OS sounds like he really wants to help you too so thats great.
I know you have a pain in your nether regions at the prospects of more surgery and rehab but hey, Ill be rehabbing for the next 2 years so I will encourage you when you get sick of it and gently remind you that it has to be done!! You dont mind doing it when youre improving anyway - its doing it and getting nowhere thats soul destroying!!

I hope your chat with hubby goes well, i am sure he will understand, its not like its your fault!!!
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 22, 2008, 05:27:45 PM
Thanks Tanya :-*

I know, if this works it will be greatbut I am almost scared to hope that way after all the surgeries now and I am willing this one to work !

He said this will be more painful and afterwards can create a feeling of pressure on the patell as if pushing down slightly but it does restrict the lateral glide. However I am in pain now so living with pain that is productive and would give me a quality unctional life would be better.

But THANK YOU !!!!!!

My hubbie isn't into Ben as much as me and the kids so he needs to be worked on so fingers crossed.
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on September 22, 2008, 06:28:31 PM
Joanne, I am so sorry about your soft tissue stuff!!  I know you were already planning surgery, so this just means you have a better chance for success!  So congrats on that!!!  Go with the puppy no matter what!   IT will make you so happy.  Your husband will fall in love once he sees Ben.  I am about to start a meeting now, so I have to go.  I Just wanted to let you know that I am so sorry for you with your stress.  I am glad that the OS knows what's next though and is thinking of the best way to make it right!!!  Gotta go, but thinking about you!!!!!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on September 23, 2008, 12:09:35 AM
Hi Joanne,

I just found your journal so am going to comment on the stuff you wrote today.  I'm sorry about your soft tissue problems and needing more surgery. I'll have to read back in your journal during the week to catch up on exactly what you had done and how you've been coping. 

I know you're worrying about getting a puppy now that you're getting more surgery. I agree with what others wrote. GET THE PUPPY!! My doggie is almost 10 yrs old and i remember when I got him as a puppy. Some puppies get house trained so quickly. It really isn't as stressful and tiring as some might claim. tanyatap is right. it's not that hard to put down food and water and let the dog out. and also your hubby WILL fall in love with Ben right away. what kind of dog is he?? Puppies are just adorable!!! And he will bring you so much joy. Just read Farrah's posts about the sheer joy her doggies bring her :D Ben will come lay with you and lick you, etc. at all the right moments.  Dogs just know. 

i'll catch up on your thread during the week, ok? it was so cute how you wrote on Lenore's journal that reading what her and I write to each other cheers you up. i'm glad to help :D  you're awesome! ttys!
~Nevella :D
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on September 23, 2008, 12:29:05 AM
Hi Joanne,

I know you are probably really upset right now, but I just want to reassure you that things will be ok.

If it's any consolation I have the exact same problem. That's why a number of my operations have not worked. If your OS uses a hamstring graft he is most likely talking about a medial patellofemoral ligament (MPFL) reconstruction which is also known as patella stabilisation. They essentially insert in another ligament to stabilise your kneecap. I had this operation on my left knee after my lateral release failed and worked really well. The recovery is similiar to an ACL reconstruction.

I am suprised that your OS hadn't worked out that you had problems with soft tissue especially considering your results after the lateral release. It's probably a lot to take in right now but I would seriously think about getting a second opinion. Mr Simon Donnell who is based in Norwich specialises in patella problems and meant to be one of the best in the country. It is really important you get the right advice and the right sort of treatment for your knee.

Don't worry about Ben, I'm sure it will work out fine.

You really need to have a good talk with your hubbie about your knee and how much it's impacting you. Having support around you is so important right now.

I am thinking about you a lot at this difficult time. You'll get through it.  8)
Title: Re: Patella stabilisation post op diary
Post by: Mookie11 on September 23, 2008, 09:32:37 AM
Hi Joanne,
I just found you over on Lenore's thread so I thought I'd read up on your diary too. You have really been through the ringer!! It is just so hard to think of you having had so many procedures already. Is there nothing that will be a more permanent option?  Sheesh, you are tough.

I wish you well and will continue to check up on you now!

Candace
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 23, 2008, 10:29:31 AM
awww thank you ALL so much for your support  ;D I suddenly felt lifted rasding all your replies knowing that firstly you understand ( and those with families or other hectic lifestyles) know how quickly you go down the list as you try and sort everyone else first and secondly you all get this knee stuff. I read on here and keep thinking well there are those with much worse situations than me so onwards and upwards !!!

I so appreciate the support and know I am going to get through this.

Kirsty I think my OS feels the LR was the wrong choice for me, he said to me yesterday that he believes much of my problem is medial and that if he was going to scope it he was going to see what the first OS had actually done with the LR, to see if it had scarred badly and the muscle pulling wrong. I actually think I have worked too hard on my rehab and with such an imbalance my quads pull heavily laterally and think that has stretched out the medial side.

Anyhow can you tell me what your recovery was like Kirsty ? Its consoling to know someone else who has had it done. Ok really stupid Q here....this is an open surgery right ? I'm sure he said it was but I didn;t take evrything in yesterday.

Secondly where exactly does the graft come from ? Hamstring is on back of leg....is that right ? Can they do it all via same incision.

i think I will need to phone up and ask but if I can get the basis in my head it gives me something to work with.

Thanks for the heads up on Norwich Kirsty...unfortunately its still ages away from me and the commuting with young kids would not be an option as I would need to go down there for any consults or surgery.

I have defied every prediction ever made......so my mother tells me. I was born at 30 weeks ...way back then and all they could do was set me in an incubator. They told my folks I had a very limited chance of survival, but hey I did. They do Q whether some of my joints were fully formed though as apparently much of it s cartilage based and although I thought it all done in the first 12 weeks that does not cover all the cartilage ....and someone once queried was the patella one of the last to form ???? Never checked that out but doesn't make any difference now as I am where I am.

THANK YOU ALL so much, you have lifted me out of a cloud of despair today and I have more focus now :)

TY !!
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on September 23, 2008, 10:59:27 AM
Hi Joanne,

We are here to support you.

To be honest my recovery was pretty tough. By the time I had my op my quads were pretty much non existent so it was a tough road to strenghten them again. It took a good 3 years to get back to where I was. My case was probably extreme as my muscles had weakened really badly. This is definitely an open surgery and so takes a lot longer to recover from.

For the first 3 months I was in a zimmer splint, which a straight leg knee brace. What did your OS say about this ? I guess there was a lot to take in and probably not what you were expecting.

The graft comes from the hamstring, which is at the back of the leg. They usually just take a few strands of it for the graft.

I would perhaps make another appointment to see your OS or email him a list of questions. It's important to get your head around this and know what to expect.

I know you say Norwich is ages away, but would strongly suggest you get another opinion. It doesn't mean that you would need to go with that surgeon. It's just an opinion. From others that have been to him he doesn't do a lot of follow up with patients post-op. Trace doesn't need to see him for 11 months. Please seriously think about it. You have got to live with your knee for the rest of your life and need to treat it with respect. You only get one set of knees and need to look after them.

Chin up, things will be ok. Ben will cheer you up and get through this. It's nice you have a holiday to look forward to as well.  ;)

Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 23, 2008, 01:18:53 PM
Thanks Kirsty, he did mention splint then brace.

I have textd my PT ans asked him to call me once he knows as he will be able to give me all the info  - he is very good that way.

Thanks so much for your replies  :-*
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on September 23, 2008, 01:46:13 PM
Hi Joanne,

Sounds like you have a great PT.

Let us know what he says.

Good luck. Thinking of you.
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on September 23, 2008, 02:11:08 PM
Hey Joanne,  Just read up on your diary.  Wow!  You have been through so much and are facing so much more to come.  I love that you're not giving up and want that knee to be right again.  Good for you to continue the struggle.  You're young and active and it will be worth it in the long run.

Sounds like the puppy will be a much needed positive in your life.  Sometimes you just need that extra push to keep you mentally sane.  Pets are the best and they know exactly how to make you smile when you are crying. 

I'll be following you now and pray that this op will be the last one. 
Title: Re: Patella stabilisation post op diary
Post by: brianne on September 23, 2008, 02:40:33 PM
Joanne,

I agree with Kirsty in that a second opinion could be so valuable to you.  I know it might seem like a horrible trouble to travel and such to see a second opinion, but it is so important.  An MPFL recon is a tricky procedure and if it is done incorrectly you can be left with too much medial pull and a whole bunch of problems relating to that.  Surely a few days of extra travel will be worth it if it fixes your knee. 

Ask your OS how many MPFL recons he has preformed.  He might be right that you need an MPFL recon, but that does not mean he is necessarily the most qualified or the one who should do it.

Brianne
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 23, 2008, 03:18:00 PM
thanks brianne, kirsty and lenorem9 I know what you are saying and can find that out through my pt as all my os referrals will go via my pt. So I can get an idea as even with the last op my os had written rehab notes that were printed and used as a pack so it was obviously quite a popular op........ Not by choice obviously, so I can get all that info via my pt which is good. I would go seek a 2nd opinion but my insurance will not cover anymore outpatient apt of anykind. Not physio or follow ups or anything like that and certainly not xrays or scans. My allowance is all used up and won't renew until into next year.
Also everyone I ask here seems to recommend him for knee issues although I know my history may not look that way. Financialy we just can't, we are hoping my husband won't face redundancy and god forbid he does we lose all private health insurance thus we think better to make decisions sooner rather than later. As if we lose it I lose my current OS also  because we simply could not afford it and then we would not have a choice really .

So I will check up on his history and am not being flippant about this in anywAy but my husband has had enough of my knee. He wants to blame someone and that would be satisfying  but  have accepted that you can't take these things as standard. I have had knee issues for ages and they are complex. It's too easy for me to go down his road of being negative and wanting to blame, it's too negative for me when I have to live it. So I feel I need to be upbeat for both of us. O don't take him to meetings with my OS as I know he would be too aggressive and rude and he is not interested in finding out the issues and complexities of my knee. I am not a silly girl but sometimes he makes me feel it.
He is super stressed at work now and has said he can't be available for me of the kids during the day after my op and o will need to find the money to get help in to get kids out to school and nursery and collected. He just doesn't have the time to help let alone how he will feel with a puppy there too or me complaining of pain.
So you can imagine if I said I needed to go to Norwich possibly for one overnight and have to pay for that plus an apt with this dr.

My husband is great in many ways but right now he is super stressed- unfortunately.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 23, 2008, 03:29:30 PM
I should point out on a positive note that all my inpatient care is covered. So OS, op, hospital etc are all ok provided I am an inpatient. So that's a silver lining...... Sort of!

Well you have to smile, if I didn't I would cry and I hate panda eyes which I alwYs get if I cry.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 23, 2008, 06:53:37 PM
Kirsty

Out of interest is this what you had done ? There are quite a few incisions, is that normal ?

http://www.orthosupersite.com/video.asp?rID=20934

Its a video about MPFL recnstruction and shows surgery so if you are sqemish maybe dont watch it  :-\
Title: Re: Patella stabilisation post op diary
Post by: Tabitha on September 23, 2008, 08:53:27 PM
Hi Joanne,
 I was just reading through your posts to update myself, I have been pretty out of it. So November they are going to do another surgery huh, wow. I hope they get things nipped in the bud this time. I am glad your OS said he's there for you, he sounds excellent! It's always good to bond with the person who is operating on you! I hope that he has discovered the problem with I think you said the medial tissue.

 Surely he will make sure that you are taken care of and that this surgery will do the trick.

I hope everything is going okay with your husband. I know mine gets kinda grumpy because it's so expensive and I am not working right now. He never says it directly, but he doesn't have to. Just know it's not the knee, or you, it's just finances are stressful and sometimes it can be really easy to place blame on those we love because we know they'll forgive us.

 I hope things are going well for you and that you find a way to settle your pain. I know that has been my biggest personal battle.

Thanks again for all the support!

~Tabitha
ps. Can't wait to party after you're all healed up  ;)
 
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on September 24, 2008, 03:06:28 AM
Financialy we just can't, we are hoping my husband won't face redundancy and god forbid he does we lose all private health insurance thus we think better to make decisions sooner rather than later. As if we lose it I lose my current OS also  because we simply could not afford it and then we would not have a choice really...........

............ my husband has had enough of my knee. He wants to blame someone and that would be satisfying  but  have accepted that you can't take these things as standard.   It's too easy for me to go down his road of being negative and wanting to blame, it's too negative for me when I have to live it. So I feel I need to be upbeat for both of us.  He is super stressed at work now and has said he can't be available for me of the kids during the day after my op and o will need to find the money to get help in to get kids out to school and nursery and collected. He just doesn't have the time to help let alone how he will feel with a puppy there too or me complaining of pain.

My husband is great in many ways but right now he is super stressed- unfortunately.

Hi Joanne,

After reading this post, no wonder you are stressed  :-\ I hope you do not lose your private health insurance. Were you saying that there's a chance that might happen?? or just that in general you hope it never happens? Either way I'll throw in an extra prayer for you.  I have to get back into regular prayer at night and now I have a nice long list of requests with all of my KG friends :D  I'm sorry your hubby is so fed up with your knee and wants to be negative and blame someone, etc. But good for you for NOT being like him and being negative. You mentioned he won't be there the day after your operation. So do you have someone who can come and be with you and the kids?? how old are your kids?? Don't worry b/c i'm sure there's a friend or family member who will be there to help you.  It's amazing how many people offer help when they find out someone has had surgery.  That was the one good thing about my injury. it actually brought out the compassionate side in many people (a side i had never seen before). I also enjoyed when people would hold doors for me and offer me their seats when I was on crutches or my cane....and my wheelchair parking pass :D 

i hope tomorrow is a better day for you...... i cannot say that i know what you are feeling, but just know that I care. I'm one of many on here who cares.  xoxo
~Nevella :)
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on September 24, 2008, 08:07:18 AM
Hi Joanne,

I tried to play the video but couldn't play it on my computer. With the MPFL I only had two incisions. They were two diaganol incisions. One below the knee and one across part of my knee.

Not sure if you are aware but Mr Donnell works on the NHS and should be able to see him through the NHS. So, it wouldn't cost anything to see him that way. Trace should be able to give you some ideas on this as she went out of her NHS trust to see him. Trace, can you please comment on this.

I am really sorry how you husband has been reacting about your knee. It must make it pretty hard. My parents don't understand my knee problems either so I only tell them what they need to know. At times it is just so stressful. Do you think it would be better deferring getting a dog ? There are a lot of costs associated with having one and maybe you don't need the added stress right now. Just some food for thought. Do you have friends that would be able to help with picking and dropping the kids off at nursery after your operation ?

Do hope things improve for you soon. Thinking of you heaps. xxxx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 24, 2008, 09:12:54 AM
Nevella thank you so much for your kind words, you are so compassionate and we are lucky to have you here. My husbands work has announced redundancies but we are praying he won't be effected. If he is we lose our health insurance.

Because of this he is obviously under pressure at work and says he can't be available after my op at all for the kids and getting them too and from nursery and school. But I have time and am looking into it.

I am waiting on my pt to contact me so I can ask all the Qs. I think provided I get good feedback chances are I will stick with my os. Logistic wise even on the NHS I would wait weeks to see your recommended doc and still have the logistics of getting there and who would look after my kids. Oh the whole thing gives me a headache LoL but I have a good physio and trust his judgement so I will wait and see. To be honest I appreciate and like the fact my os says we are in it together and we will find a solution. That comforts me somewhat !


Thank you all for your guidance and support. Your incisions kirsty sound similar to those shown in the video. They drill a hole through the patella and place the graft through the tunnel they made and down then on the medial side. Does that sound familiar to you ?

Most of all my os and pt team are trying to find solutions suited to me and my lifestyle - having young kids and with the rehab protocol realistically that I can do. So it's a jigsaw and I know they are trying their best for me too.

Happy knee day everyone ;D you gotta laugh, well I have to try anyway
Title: Re: Patella stabilisation post op diary
Post by: tanyap on September 24, 2008, 10:53:47 AM
Cmon Joanne, get your red heeled thigh high boots on with your black and red mini skirt, you and I are off out on the town over on Tabithas thread, no running off to the beach with all the best looking waiters this time, give Kathy a buzz to join us, she loves a virtual trip, cmon, Im 2 drinks ahead of ya already!!!
xx
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on September 24, 2008, 11:11:35 AM
What's with all this drinking and partying?  It's only 6 AM here?  OK, I'm there.  Let's party! 

Joanne, you'll find a way to manage after the surgery.  We all do.  Hubby has a lot going on right now but I bet he'll be there for you anyway.  Like Nevella says, don't be afraid to ask others for help too.  I found out I had a much bigger support network than I ever even imagined.  Even people I didn't care for were offering to help out.  People really do come through when you need them.  You just have to be humble enough to ask sometimes.

Hope your pain isn't too bad and you get the answers you want soon. 
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on September 24, 2008, 11:44:33 AM
Hi Joanne,

It's wonderful that you have a great physio. He sounds very supportive. I would just hate for you to go through what I have been through. I've had 5 operations on my left knee and 2 on my right knee. So, that's why I've been suggesting you get another opinion. I have the best OS in Australia for patella problems and has helped me a lot. Now that I have a good sports physician that has made a huge difference too.

If people offer to help you after your surgery with your kids don't be afraid to say yes. I hate relying on others, but in times like these we really need supportive friends and family around us. I am moving on Saturday and have had a few friends offer to help and am taking them up on it. I hate doing it though. Just can't lift heavy stuff at the moment and been instructed by my physio to be very careful.

Once you hear back from your physio you may want to try getting some more info from your OS. They are the ones that do the surgery and only they can tell you what the surgery is and what the rehab involves.

I am starting to get very excited about getting Rusty. Only 2 days to go !!!! I just can't wait. Like a little kid getting very excited. I will post some photos when I get Rusty on Friday.  :D
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 24, 2008, 01:50:08 PM
It's funny all us bad knee-ers are bad at asking for help. I almost feel it as a weakness and believe me when I say there is a lot of family politics  - extended family wise so sometimes it feels easier to grin and bear it and muddle through. Just this time I cant. The first few days are always the worst and I arranged a Friday so my hubbie can be home Sat and Sun and by Monday I hope the initial HUGE pain will be under control. I will have a better idea once I hear from my PT.

Aaahh happy days eh !

How is everyone else today ?


Tanya.........get off of him !!!! Poor boy, just cause you can kick that high now *sigh*...off to get Tanya...she is merrily showing off her slyvmo again. :P
Title: Re: Patella stabilisation post op diary
Post by: Tabitha on September 24, 2008, 02:54:03 PM
Hi Joanne,

    I think a lot of people have a hard time asking for help, I always feel like it may burden someon to help me out, and get afraid to ask if they can. Sounds like what you've been through is pretty tough and that you kind of know what you're getting into. Maybe talk to some of the other parents at your childrens nursery school and find out if they can car pool with them for a while?? I hope the weekend is enough with your hubby. Do you have a neighbor that could check on you and bring you ice packs while your husband is at work? That's what I had my sister do while my husband was working. It was hard asking for help, but I needed it.

I hope things get sorted out and the stress relieved. Because we need to have one of those internet parties that Tanya was talking about where some other girl gets all our knee pain and has to do PT while we drink and have fun!!!!!


I am off to the OS and I will post when I return.

~Tabitha
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 24, 2008, 10:06:41 PM
Tabitha, right there with you on the whole distraction thing, count me in 100% I'm up for a virtual party at the very least !!!!

Bad day, not all for knee reasons. My other half just cant seem to show me any concern reagdring my knee, in fact he never asks how is the pain and well its just hard at times. He doesn't want to know about the knee and just keeps saying at 5 operations someone has f***** up. I try and explain and he just says he isn;t interested.

Tonight I am more upset with him than my knee. ANyhow moan over  :(

Hope you are all having a lovely evening
Title: Re: Patella stabilisation post op diary
Post by: Tabitha on September 24, 2008, 10:33:59 PM
It's funny how theres always that one person who can make or break a day (or much longer) without saying a word. I am sure that he is just frustrated that the doctors haven't "fixed" you yet. He probably hates seeing you in pain so he chooses not to. Men are such different creatures. That is why I am so happy to have my sister around because I get the sympathy I want. I sometimes am a little to needy though. Hopefully your husband will come around and give you the support you need. Meanwhile let it out here, that's what I did, and I got more support than I could've wished for!

I hope your evening gets better, I am so sorry you're having pain and a bad day. Get better so we can have our virtual party!!

~Tabitha
Title: Re: Patella stabilisation post op diary
Post by: Davori on September 24, 2008, 11:57:19 PM
Joanne   Im sooooo sorry to hear your having a time of it.... You really dont need all the stresses right now... I know its hard to juggle pain, babies, husband, financial fear, and up coming procedures... I know that you probaby feel like its your job to keep it all together... but you are human! We all have days where we see nothing but the gloom and doom... but dont let it get you down... You of all people know that there a good days and bad ones too.... this is just a bad one... This too shall pass. Stay strong... and when you are feeling less that strong, come vent with us!!! 

c'mon :) lets go limbo at the virtual party...... ;D                 Lori
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on September 25, 2008, 02:58:55 PM
Tabitha, sorry but we need to move your pity party over here for Joanne.  Babies, husband, finances, and new surgery rate pretty high for the pity factor.  She has WAY too much to handle without all our support.

Limbo?  Now you're talking Lori.  I like that image.  Sounds like fun.

Joanne, I think you'll have to stop leaning on your husband for a bit at least until he feels a little more secure at work.  The hunter/gatherer/provider in him is really hurting right now.  He's getting hit from all sides.  You'll have to lean on us some more.  The pity party is all yours right now.   

Hope things improve soon.
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on September 25, 2008, 06:13:00 PM
Joanne....I hear that from everyone about my knee too.....7 surgeries and it still isnt right? Someone has f'd up!! :-\

I guess Id be lying if I said Id never thought that myself, considering my mother is 76 and has had both of hers done and doesnt have all these issues. You have alot on your plate right now. And Im sure hubby is a bit overwhelmed himself. Guys arent quite as patient as us girls when it comes to dealing with stuff either, and that can be a pain in the.......um.......KNEE?? :P ::) Hang in there. Know we are all here ready to help in any way we can. Its all gonna be ok.

hugs....DONNA




Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on September 25, 2008, 06:20:33 PM
Joanne, I have basically just caught up on your diary after a few days of missing it.  I am sorry for that, but as you know, I have started a new job and have less time to spend on KG.  I want to let you know that I am sorry for you and all of your stress!  You sound just like me except that I am the one worried about my job.  Despite having transfered to this new place, we still have a chance to lose our jobs at any time.  So I also have to be careful in my medical appts and such.  Anyway, my story doesn't matter, it's you that I care about!!!!  I know how I feel, so I wish I could help you!!!  I guess it doesn't sound like a good time for a puppy, but if I were you, that wouldn't stop me :)  I hope that you find ways to get through all of this.  When is your surgery now?  Did I miss the post with the date? 

I also understand about your frustrated husband.  My husband gets like that as well.  Lately he's been great.  In fact the other day I was telling him all my medical appts just so that we can make sure we have the money and he told me to not worry about the money and just take care of myself.  He was so sweet!  Well I have to get back to work.  Let me know if I can do anything to cheer you up :)  Draw a picture for you?  Take a picture for your?  Just let me know.  I'm thinking about you!!!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 25, 2008, 06:22:07 PM
awww I feel overwhelmed by your support and so appreciate it. To be a faceless name and know that so many of you care really lift my day well and truly.

Thank you from deep in my soul, I dont have the words today to tell you how much coming here feels like escape and how strong I can feel reading your posts. You lift my spirits and I lift my chin a bit higher and carry on. Hard to explain but you do so very much more than you know

Thanks all so much  :-* :-* :-* :-*
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on September 26, 2008, 06:17:17 AM
Joanne....Wanted to share a couple of pics of our "four legged babies". ;D Domino is an 11 year old mutt. Lol. Shes mixed breed...definitely some terrier, maybe some sheep dog? Very, very good dog. She was Ricks family dog. Peanut is almost 4. He is a toy pardi poodle, meaning he is multi colored. (apricot and white, with black on his ears) Hes my baby. :-[ Anyways, these are recent pics, so I thought I would share them with you while you are awaiting the arrival of your new "baby"....

DONNA
(http://i168.photobucket.com/albums/u190/lilrosie06/Domino.jpg)



(http://i168.photobucket.com/albums/u190/lilrosie06/peanut.jpg)
Title: Re: Patella stabilisation post op diary
Post by: Beda on September 26, 2008, 08:35:42 AM
Dear Joanne. I couldnt read your diary and go away from it without posting to you - how I feel so deep down your pain and frustration. Last year, around about this time, I had an undiagnosed pain in my knee and whole leg, and my family absolutely REFUSED to entertain the thought that there could be something wrong AGAIN in my knee. They all thought I was a basket case, having had 16 surgeries and 6 TKR's and the last one being just about 2 years ago. they all said I should snap out of it and stop having pity for myself, and you know what, I was literally crawling on all fours to get around it was hurting so bad. My doctor was the only one that took me seriously, but somehow its our nearest and dearest we NEED MOST to understand our sufferings, simply because of the fact they are SO close to us and everything we do and say. But when I got diagnosed with a loose prothese and osteolysis, it was deadly serious, and then all my family were forced to look at me again, and all of a sudden they said, well maybe there really IS something up again. Now I know its hard for my family to see me go through one op after the other and one TKR after the other, and still not get any better, but the moment I involved my family directly into doctors consulatations and GP's pain control meetings, they really turned round and now they are all just great and really understand I do have a major problem that ISN'T going to be going away on its own, and needs major surgey. i was wondering, has your husband been to an OS appt. with you?? Or even just heave him with you down to your GP so your GP can explain to him whats really going on with you, then if he hears it from a 3rd party maybe it will sink in. I dont understand that he can be so negligent and refuse to help you, when you got married you exchanged vows, for richer for poorer, in sickness and in health. maybe he needs a gentle reminder and a wake up call. I understand he has a lot on his plate now, but to be egocentric about ones problems doesnt help anything now does it.

About getting a puppy. Maybe because the relationship with your husband is like it is at the moment, maybe getting a puppy might and ought to be put off for a few more months. that puppy is going to need excersise and you cant really go for walks, and it doesnt sound like hubby wants to be involved. if you get a puppy now, it might just be the last straw, because puppies DO make messes, accidents, whatever you call it, and they need constant attention in the first couple of months. I am speaking of experience here, and just trying to be realistic here. maybe its just not the right time for a puppy, and a puppy will feel it if hes not welcome, if your husband doesnt want to participate in his upbrining, well, it can be a very hard slog. I think that if you are a family and you want a dog, it should be a joint decision and a big YES from all sides, otherwise its just not going to work out right now, and will cause uneccesary friction in a relationship that seems to be a but thin-iced at the moment. Give it time, theres puppies to be had all the time, and if you have chosen a breeder, maybe she has a litter of puppies planned at a later date, maybe that would suit your situation better to wait for a later litter. the breeder will understand, better say pass this time than taking it now and having to return it to the breeder 2 months later cos its just not working out.It will also affect the puppy if theres tension about him. Your knee will get better, give yourself more time, and you see, everything will fall into place in its right time, theres a time for everything in life, and maybe its just not puppy time right now.

Sorry if i grovvel on, but this realy does lie very close to my heart as I knwo what it means to have a dog and not be in physical condition to look after it properly, I had it with my Sandi in the last 2 years of her life I had to actually pay someone to go for walks with her every day, cos she needed the excersise cos she was a show dog, and their muscles need to be strong, but it hurt me deep down that I couldnt do it myself. part of bonding with a dog is doing stuff together, positive stuff, like going for walks and playing with them. Dogs are VERY social animals, and suffer if they dont get their need for contact satisfied, contact by ALL in the family.

Well, joanne, its all your decision in the end, and only you know whats best for you, us other people can only have wild guesses, well maybe not WILD but carefull educated guesses as to help you at the moment. I think of you often, and want you to know that I carry your pains on my heart for you, and pray that you will get soon get releif in your impossible situation.
So, I greet you with love, Beda xx

Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 26, 2008, 11:52:15 AM
Thanks Beda  :-*

I so appreciate you taking the time to post as I know the pain you have currently. I have a lot to think and need to have a long chat with my other half.

I agree, my children are so desparate for ben to come but I do hear what you are saying. I have a jigsaw I need to put together here and see what the outcome is because like you say whenever Ben comes I want it to be THE happiest experience for him too !
Title: Re: Patella stabilisation post op diary
Post by: Tabitha on September 26, 2008, 07:29:45 PM
Hi Joanne,

       I hope that you are doing better today. I was thinking about you earlier because I saw some frustrations with my husband and it was very emotionally exhausting to feel like he wasn't supportive. I can't imagine what you must be feeling besides the pain.
I have no idea what taking care of a pet entails, but I know that they can be very therapeutic for people who are healing and people with disabilities, maybe one of your children can help you by being responsible for feeding, and one for cleaning up the messes etc? I don’t know the ages of your children, but I hope you can make it work. I think having a new pup around will be tough, but also it may give you some of the attention you need. Hope you’re pain has subsided. ~Tabitha

Beda,
     I read through your post, and I couldn’t believe that you have been through 16 knee surgeries, that’s unfathomable. I am glad that you at least received proper diagnosis, but it boggles my mind that it took so long. I hope that your recovery goes fast.
~Tabitha
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on September 26, 2008, 08:40:06 PM
Hey Joanne, just wanted to stop in and say Hey! 

Sounds like you guys need to start a new thread called "difficult spouses after knee surgery".  Bet you'd get a lot of hits and probably some great suggestions too.  It has to be so hard to struggle with the emotions of a spouse that isn't supportive.  Hope it all works out quickly.
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on September 27, 2008, 12:23:16 AM
Hi Joanne,

I'm sorry you've been so stressed (with children, finances, wanting a dog, having a husband who is fed up with hearing about your knee, etc). I just cannot imagine ever being fed up with my significant other just because they have an injury like a knee injury. yes I understand being super frustrated and maybe trying to have a night out with friends to "get away", etc. But I could not imagine ever telling Martin (my boyfriend) that I'm not interested in hearing about his pain. I'm so sorry. What a load to bear  :-\

I had a change of heart and I agree with Beda about Ben.  At first I read what some people wrote and agreed that it's not too much work taking care of a puppy. but then after reading Beda's post i recalled that my doggie (he's 9 1/2 yrs old now) needed to be let out in the middle of the night when he was a puppy for the first couple of weeks. And yes I played with him a lot and rolled around with him, etc. It's so very true that a puppy needs the love and affection of everyone in the family.  another thing that migiht happen if you get him and your hubby refuses to help, is that the dog might develop aggression towards your hubby or just not listen to him, etc. then that would cause a whole lot of problems for you guys. A dog needs to be properly trained by everyone (not just one "parent"). I made that mistake and my dog (who now lives with my parents because I had to move into an apartment) had a problem adjusting to living just with them. They had never helped to walk and train him and be affectionate with him when he was a puppy and a young dog. so then he was super protective of me and just didn't respond as well to others (when they tried to call him, etc). I forget just how limited you are with your injury (are you on crutches? can you get full flexion?), but yes it would be best to be able to sit down comfortably on the floor, and play (run or at least jog) with him. So, with everything going on, yes a puppy might bring you instant happiness, but it might cause more stress after a very short period of time (as Beda mentioned, his first "accident", which we all know happens to all puppies, lol, or when he accidentally chews on your hubby's shoes, etc). Beda I couldn't have said it better myself. To many (myself included) a dog is like a child, a member of the family. You wouldn't want to have a child that your hubby ignored and didn't acknowledge. So i think you should hold off until your hubby at least feels somewhat more welcoming of Ben :)

Beda, I know I messaged you once or twice before. Like Tabitha, I just cannot fathom someone having 6 failed TKRs. And 16 surgeries. OMG! Can I ask how old you are?? I'm going to have to go try and read your journal. I know from Farrah's journal that you're in constant pain :( I'm so sorry.....


Donna, your doggies are so cute! Especially the poodle. It doesn't even look real in the pic (it looks like a cute little stuffed toy :))

ok, that's all the time I have today. I'll check back tomorrow.....

here's to hoping all of my KG friends who are still experiencing daily pain and stress are provided with some sort of relief.....
love,
Nevella XOXO :-*
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 27, 2008, 01:42:07 AM
Well I sat my other ha;f down and we chatted. To cut  a long story short he is frustrated about my knee and the length of time this process seems to take but does care. He just goes about it all wrong he says. He is not good at the details and facts and does find all that hard to fathom and still in a way wants to blame soneone.

We talked about Ben and he said he knew the research we had done prior to choosing him and the reading about training pups and the efforts our two girls were making to learn also. He said he knows He may well fall in love with Ben and provided the main duty of care in long term falls on me and the girls he is happy to help out in the first few months when I may be unable. He says long term though as long as me and the girls know it is our responsibility.

So I guess that is progress of sorts, most importantly he said he loves me and just goes about the caring part in the wrong way.

So it is a step in the right direction. I have taken all your input seriously and we are going to look at dates etc, when would Ben come - we think a month before my op. I am mobile just now so would that be enough time to make progress in house training etc and all the little goals our dog training and dog whisperer books have told us.

Most of all, we love Ben already so his well being with us or not is so important as he feels so special to my girls already.

We will see - thank you all SO much for the advice. It helps hugely !
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on September 27, 2008, 02:24:10 AM
He said he knows He may well fall in love with Ben and provided the main duty of care in long term falls on me and the girls he is happy to help out in the first few months when I may be unable.

....... he said he loves me and just goes about the caring part in the wrong way.


Yay!!! that's absolutely wonderful!! First of all that your hubby says he loves you and admits that he goes about the caring part in the wrong way (that's HUGE for a guy to admit that, lol. wow! So that's a great step in the right direction :)

Secondly, that's wonderful that he'll help out in the first few months with Ben if you're not able. That was my big concern. If your hubby refused to help at all during the first few months after your surgery. So since he says he WILL help, that changes a lot. I would then say to get Ben (so long as you know your hubby is being sincere....but I have a feeling he is being VERY sincere :)).  I'm happy for you. Happy that things have seemed to brighten up for you tonight :D

sleep well :) i'll check in tomorrow :D
~Nevella  
Title: Re: Patella stabilisation post op diary
Post by: Beda on September 27, 2008, 04:04:59 AM
Hi Joanne!!! So pleased to read that youve had a serious talk with your husband, and that although he has difficulty in showing it, he really DOES care and that is a huge step for a male spouse to admit, I think its because they think somehow they have to be the 'strong' one in the family, the 'backbone' if you like, and when they feel they cant meet the demands, well, then sometimes they react by refusing to take the situation seriously - outwardly - but thats not really what is going on.
I am also overjoyed to hear that he is willing to help out in the first months with Ben. It is a BIG thing having a puppy, and the fact that you are still moblie now and able to give him your all in the first all-important month is great! At least now you KNOW your husband isnt just not-caring, but somehow I think he hides under a shell of not-caring to protect his  so fragile insecurities  about your situation. Its good your children also are going to be involved in looking after Ben, but remember, it doesnt matter how old your hildren are, its unltimatly YOUR responsibility to look after Ben, as children do not grasp the meaning of all-embracing care and attention. Children might all of a sudden let something other than the dog take up their lives all of a sudden, not for a permanent ammount of time, but sometimes they may not always put Ben first, thats just the nature of kids, so you have to be the bearing factor here.

Nevella, thank you for your kind attention. yes, ive had 16 surgeries and am on the 17th here on the 27th of october. I have really had a very long haul, and wouldnt wish it on anyone. I have incerdible ammounts of pain to deal with, and right now its the middle of the night for me, but I had to get up because I have so much pain its driving me crazy and I had to take some extra morphine. To answer the question how old I am, well, I'm 52 but a very young 52. You can look at my website  www.bedasatelier.dk (http://www.bedasatelier.dk)  to see a picture of who I am and to see what I do in life apart from being operated on!!! I too hope this upcoming surgery is going to put an end to my sufferings, as we alll do when we have surgery!!

Tabitha, thanks for your greetings

So, all in all Joanne, things are looking up for you now you have some clarity about your situation, and I'm sure the arrival of Ben is going to be one of the happiest moments in your life!! So i wish you all the luck in the world, and happy puppy days!!!
Love Beda xx
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on September 27, 2008, 04:20:07 AM
Beda,

52 is definitely young. Wow, surgery #17. You're in my prayers. I cannot even try to imagine what you've been through....I'm glad you have KGs as a strong support system.

thanks for the website. I'm gonna go check it out now! :D i hope the extra dose of morphine kicks in soon....xoxo
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on September 27, 2008, 04:26:39 AM
Sorry to borrow your thread again Joanne to communicate, lol. But Beda, I just checked out your website and that's amazing! i was looking on here for your post-op diary to comment on your website, but i can't find one. Do you not have a post-op journal on here? can you send me the link? i'm into amateur photography and loved your pics.

ok, nite nite everyone! And again Joanne....i'm THRILLED at your husband's change of heart about Ben :D and his honesty with you. things will get better. yay!!!
Title: Re: Patella stabilisation post op diary
Post by: Beda on September 27, 2008, 05:14:00 AM
Nevella, my diary is in 'General questions and comments' and is called Bedas Pre-op diary.
xxB
Title: Re: Patella stabilisation post op diary
Post by: Tabitha on September 29, 2008, 06:55:47 AM
Hi Joanne,
      I had a busy weekend and just got an opportunity to get online to see how you were doing. I was really happy to read that you taked with your hubby, I really felt like getting a pup was important to you, so I am glad that he is willing to share some of the resposibility. He sounds like a wonderful man, he just has a lot on his plate. That's great that you were able to talk to him, I know that's the most difficult part is finding the words to say that can get your point across without causing an argument, or at least that's difficult to me.

 Hope everything else is going well with you.

~Tabitha
Title: Re: Patella stabilisation post op diary
Post by: tanyap on September 29, 2008, 10:44:54 AM
Hi joanne,
How are you feeling today? How is the knee?
I hope youre doing ok, you have had a lot of stress recently.
xx
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on September 29, 2008, 10:47:30 AM
Good communication is so important.  I'm so glad to hear hubby loves you and is able to express it.  Also that he's willing to help with the puppy.  It will be a lot of work for all of you but those puppy kisses when you're feeling down will be so worth it.  

Sounds like things are going in the right direction Joanne.  That's all good.  

Are you able to do PT for your knee while you're waiting for the next surgery in Nov?  I can't remember if you said you were still working on it or no.  
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on September 29, 2008, 05:50:09 PM
Joanne, I am so happy for you that your husband realizes that he needs to be there for you.  I am also happy that you are able to buy the new puppy!!!  It's so great that your husband has talked with you about how much he loves and cares about you and just wants to blame someone for your pain and suffering.  It all sounds too familiar on my end!!  My mother is like that right now and my husband used to be like that, but now completely trusts me and what I decide and believe.  Anyway, I am glad those things have gotten worked out and I hope you feel better mentally! 

I will be updating my thread now if you are interested in reading about some of the things that happened during the wedding day :)  Have a great week!!!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 29, 2008, 08:00:51 PM
Thanks guys :-*

I am not going to PT just now as any work I do is building the lateral side more and causing the lateral pull to be worse. Plus I am doing walking and swimming when I can to try and keep agile and build up some strength in it. Also my insurance cover has ran out of outpatient cover until Jan so this way I am not too out of pocket anyway which is good.

I havent taken my other half to see the OS as he couldnt help himself and I know he would go in there and be cross or come across as arrogant (just out of sheer frustration) and given I am the one who has to deal with all these people I would rather deal with it myself as I dont want aggro. If he decides he wants to be educated then fair enough but not to come and be aggrressive.

Haven't heard back from my PT and I am due to go on holiday next Monday night, so I will wait til my return and call then. I am sure everyone involved is fed up.

Anyhow trying just to focus on other things really, thankfully my life is so full getting ready for hols, work and packing etc and when I get home I will worry about it more.

How are all my buddies doing, are you all ok ?

Title: Re: Patella stabilisation post op diary
Post by: tanyap on September 29, 2008, 08:16:16 PM
Hi Joanne,
I hear ya about the PT just building the lateral quads!! Thats what was happening me before my scope - giant lateral quads, rubbish vmo - and I needed it the other way round!!! So best to lay off so that doesnt happen.

I always bring my other half to OS appointments, but only because he is like the worlds calmest person and when I freak out he stays calm :) He is always good for keeping his head when all around are losing theirs so he can be useful to ask questions if Im upset or anything (which never happened when I got the new OS - but did with the crap one).

I hope you have a lovely holiday, you need a holiday, and a holiday from your knee too - maybe we should fly the PT girl out to you to do all the hard work and you just sit back and enjoy yourself?!?!

How is everyday life for you, can you get about ok? I dont expect youre running marathons, but are you managing the walking parts of life like shopping, cooking, cleaning etc...?

Fergal has been in Germany with work since Friday, for some reason last night I got a fit of the heeby jeebys and could not for the life of me sleep - kept jumping at every little sound!!! It may have had something to do with me watching a scary film before bed.......mental note, dont do that alone anymore!!!

Big Hugs!
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on September 30, 2008, 02:56:57 AM
Hi Joanne,

I hope you have a relaxing holiday (and that it helps your hubby de-stress too).  Are you going away somewhere? Like to a hotel or somewhere to really relax? for me, holidays means going to the zoo or relaxing at home, lol. I don't have the money just yet to actually fly somewhere. but i'm happy being a home-body :D I hope you get to go somewhere very relaxing and you have a fabulous time. Does that mean you won't be on KGs for a while?? I hope you are able to focus on your holiday and that you get rejuvenated and that you and your hubby have more wonderful talks :D  
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on September 30, 2008, 06:49:01 AM
Joanne....Had to laugh at you not taking hubby to OS. LOL. ;D I can completely relate. Rick went with me once, and said a few "minor" things. But, at this point, with the pain and instability continuing, and the timing of things getting done, I can GUARANTEE he would show some sarcasm.  :-X 8) And Id probably want to crawl under the table.  :-[ He says whats on his mind. So unlike me. I think thats one of the many reasons we are such a good pair. I settle him down (or try) when he needs it, and he tries to teach me to be tough  8) when I need it. Lol.

But wanted to touch base. Say hello. And let you know Im thinking about you. Hope you have a great week. ;D

hugs.....DONNA
Title: Re: Patella stabilisation post op diary
Post by: Tabitha on September 30, 2008, 07:09:39 AM
Hi Joanne,
     That's exciting that you are going on a vacation, I hope it give you and your hubby some time together before the surgery to calm your nerves and relax.

 Hope that you are doing well and are able to keep your pain at rest during your holiday!!

~Tabitha
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 30, 2008, 07:15:57 PM
Its all excitement in our house hold. I texted my PT again to see if there was any news. Hope he doesnt think I am bothering him but I am eager...ohh bad choice of words...interested to know what is going to happen exactly.

We go to Edinburgh Monday night and fly Tuesday morning to Newark, then Newrak to Orlando. It will be a long journey and I am not so hot at the flying thing but the kids will love it. I think I may have to get a knee brace for over there as I dont see how my knee is going to cope at all.

The kids are so excited at the thought of seeing Mickey and I am too but nervous about my knee too.

Tanya I am terrible at watching scary movies too. How are you doing now anyway ? I miss seeng you about as much.

Thanks Donna, Tabitha & Nevella too, you are all awesome  :-*
Title: Re: Patella stabilisation post op diary
Post by: Tabitha on September 30, 2008, 07:38:11 PM
That sounds like so much fun! I hope your family has a great time on your vacation! Also I hope you get a knee brace so you're able to cope with all the activity.

Hope that your knee pain is doing better!!

~Tabitha
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on September 30, 2008, 08:10:52 PM
Thanks Tabitha, I am taking my lap top with me for work, but I will pop on and see how everyne is.
Title: Re: Patella stabilisation post op diary
Post by: Davori on September 30, 2008, 09:08:39 PM
AHHHH joanne... Im sooo jelouse... I Love Mickey... We use to go every year... but our last trip ended abruptly when Tyler went through the sliding glass window at the resport we were staying at... We like to call it the Magic window ride...lol  He wound up with 27 stiches, and a whole lotta guaze... We extended out tickets to be reused at any time, but we just have not been back with all the knee stuff going on!!!! The good thing about going is that you may get an easy pass to the front of the line! YEA! It sure beats waiting ... especially with children..... I just know you will have a great time....

Grrr his higness beckons... be back later...Lori
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on September 30, 2008, 09:31:31 PM
I just had knee surgery and I'm going to Disney.  (Sorry, just couldn't resist imitating the commercial).  Sounds like fun.  Hope you all have a blast.  I lived in Orlando for 5 years and got to go to Disney a lot.  It's always an adventure and always more fun taking kids too.  They'll love it!

Hope the knee behaves for you and you have lots of fun.  Can't wait to hear your Disney tales.
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on September 30, 2008, 11:57:09 PM
lol at Davori's "Magic window ride" (that had me laughing so hard!!). Just the name of it (not what actually happened). It's great you guys can laugh about it after-the-fact :D

Joanne, have fun at Disney World. I've never been there (I've never been anywhere actually, lol). But one day I WILL go there. And even if I'm in my late 30s with kids, I'm gonna act like a kid and be super excited when I see Mickey and I will be sure to get a princess tiara and pose with Cinderella (I will have waited years to go there, so you'd better believe I'll find Mickey and Cinderella for my picture!! lol).

I'm sure the flight will be just fine. Will you be able to get a special seat where you can extend your leg?? If not, is it a super long flight? Sorry, again, i've never been anywhere so i don't know how long of a flight it would be for you.

Isn't it great to have little things to look forward to?? well, for you they're not so little. A wonderful holiday and then soon a puppy :D I know there are always life stresses, but i'm glad you have exciting things to look forward to :D

when do you leave?? today? tomorrow?? safe travels xoxo

Title: Re: Patella stabilisation post op diary
Post by: Sore knee on October 01, 2008, 07:38:33 PM
I dint leave until MOnday night, so a few days of reality yet :)
Still waiting on hearing from my PT

The flight to Newark I think is about 7 or 8 hours.

Newark to Oralndo I think is maybe 3 to 4 hours.

Its a long way but wil be worth it to see my kids faces. We booked ages ago thinking all this knee stuff would be behind us.

How are you all ?
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on October 02, 2008, 12:44:45 AM
Joanne, I hope you have a great trip to Disney world!!!  You will only be about 6 hours away from my home!  I have been to disney twice and Universal studios once.  It's all so much fun.  I hope your kids have a blast and never forget it.  My sister and I used to watch the home movies of the vacation from when we were so much younger...she was probably 4 and I was 7 during our first trip.  Our second trip was just a few years ago.  We went to Universal studios just a few years ago with my husband, my sister in law, her boyfriend, my oldest brother in law, his girlfriend, and my youngest brother in law.  It was so much fun at Universals!!! 

Well, I hope your PT eventually calls you.  I would definitely suggest calling him back when you return from your trip.  Maybe he never received your messages or keeps forgetting to call you.  We, I hope you feel some what rested after your busy vacation near my home!!!!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: tanyap on October 02, 2008, 01:48:46 PM
Hi Joanne,
I know I havent been online so much - just busy in work.

Yesterday a guy in work said to me 'wow - that surgeon you had must be amazing, youre flying round like you never had anything wrong with you' - it was then I suddenly realised that I dont even notice doing my PT anymore, and I am sort of flying about - still feel im weaker on one side, but havent had an unstable feeling since just after the op. I obviously cant run or anything, but I can put a bit of a hurry on if I need to and this week and last I havent been doing my walks - just been worn out on antibiotic (finished it yesterday) but I actually still feel like Im improving without doing the walks!!! I might need to review my physio program - its just not difficult anymore.

Your trip sounds like so much fun, I think youll be grand flying, you can move about on long haul flights, so just get into the aisle and stretch your legs every so often.
Do geta brace for over there, you will manage ok, it seems daunting Im sure but it will be so much fun you wont mind.
Youll have to find internet access somewhere to let us all know how you are getting on!!!
xx
Title: Re: Patella stabilisation post op diary
Post by: Davori on October 02, 2008, 02:25:53 PM
Joanne... take lots of pics.... I want to see a pic of you sitting at minies sewing machine!!!!! Are you going to Chef Mickeys???? for Breakfast, or dinner?  I highly remomend it!!! The kids love it.... ok so did I... The characters come out for photos with the diners... and the whole thing is a hoot....I am just a big kid..... I dont know what ill do when my kids are gone and I have to go alone!!!! lol People will think Im creepy..... I dont care    your never to old to believe in the magic of fairy tales.........   hugs......
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on October 03, 2008, 04:37:37 AM
have a great trip! and thanks so much for thinking about me & Martin.  You're a sweetheart! :D  
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on October 03, 2008, 06:40:37 AM
I WANNA GO TO DISNEYWORLD!!!!! ;D :D CAN YOU SWING BY AND PICK ME UP?? PLEASEEEEEEEEEEE!!!! ;D 8) ;) he he he......I hope you guys have a blast!! Ive never been there, but have heard nothing but wonderful things about it. Give Mickey and Minnie hugs for me, k??  ;) And hey, dont forget to "Wish Upon a Star" while you are there. :) It just might be the lucky one that will take all this knee pain away!! ;D :D

hugs.....DONNA
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on October 05, 2008, 10:49:59 AM
Hi Joanne,

Have an awesome trip. Really hoping to take a break soon too.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on October 05, 2008, 04:07:22 PM
Thanks so much for all the well wishes - you are all so kind. We are tidying the houe today, getting the cases sorted. Kids so excited but they are going to school tomorrow and we leave for Edinburgh tomorrow night.

I do promise to get online when I can and update you all.

I texted my PT and he texted back saying he hadn't had a chance to have a meeting with the OS yet so I probably wont find anything out until I get home although on Friday evening I turned and it popped out and back in with a huge click and boy it was sore. It has burned and nipped a lot along the medial ligaments since but hoping it calms down.

I even packed my big knee brace (which I hate) in case I need it.

Please keep popping by here so I can see how you all are as in the hotel I need to pay to log on so I will have to limit my surfing .

Love to all
Title: Re: Patella stabilisation post op diary
Post by: Davori on October 06, 2008, 01:42:26 PM
Joanne
Have a safe trip... have lots o fun for me. I have been compleatly bored out of my mind.. and the only thing I have to look foward to is being mean...to Tyler... He has a ton of homework to do, and we are still fighting to do the excercises... He does them though.... I just hate having to push him so much..and Im sure he wishes I would just go away!!! lol  Good news is that he is up and down the stairs now with little problems, his Rom is about 90...and he has been meds free for about 5 days now... We have PT today, and an orthodontist apt. tomorrow. I guess thats something to look foward too huh?  Nothing like Disney, but I guess I can pretend.......

Have fun....Try not to overdo it.... ;D :D     Lori
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on October 06, 2008, 03:42:41 PM
Thanks so much everyone.

Wont be on for a few days now so please everyone keep well - hope T does ok Lori and you too.
Tanya hope the knee keeps you going onwards and upwards - what a life change for you
Donna - hang in there hope the test kit arrives soon
Lenore - thanks for all the support, hope things are ok with your aunt
Nevella - hope you and Martin enjoy meeting the family and again I am so sorry for Martin's loss
Kirsty - keep enjoying Rusty and hope the knee behaves
Farrah - I so hope the back settles down and the SI joint behaves, you dont need any more pain than what you are coping with already
Tabitha - hope you continue to make iprovements and hope the pain has settled down

To anyone I haven't mentioned  - sorry, so sorry things are hectic but I am wishing everyone good knee days  ;D and I hope you will all leave me a line or two here so when I get on I can see how you all are. May ot make t round everyone's threads you see.

Love and hugs to all - and THANKS !!!
Title: Re: Patella stabilisation post op diary
Post by: Davori on October 06, 2008, 04:28:48 PM
yesssssss she is gone. now we can hijack her thread......lol   just kiddin joanne... 8)

no seriously... what will I do without her encouraging words????  I miss you already Joanne......
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on October 06, 2008, 04:54:22 PM
Hey I know, we can find that picture of her and put Mickey Mouse ears on it!!!  She won't find it on here for a while.  Ha! Ha!
Title: Re: Patella stabilisation post op diary
Post by: Davori on October 06, 2008, 05:26:56 PM
Itrs a small world after..all     its a small world after   all   Its a smalllll world affffter allll    its a small  small world... In a world of laughter   a world of tears... a world of something and a world of fears.... anyone know the rest..... maybe by the time she gets back we can sing it with her.....cause im certain she wont get the tune out of her head for months.......lol   I want to go to disKNEE.......
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on October 06, 2008, 05:33:15 PM
Stop!  Don't keep singing that awful song.  It never ends!!! 

Anyone go on Mr. Toad's wild ride?  I almost jumped out when the train light started coming at me.  (And I was an adult when I almost did that)

OK, here's the best I can do.  I'm not very good at this stuff...

(http://i414.photobucket.com/albums/pp229/lenorem9/joanne3.jpg)
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on October 06, 2008, 05:52:33 PM
I officially have way too much time on my hands today.

Here's my last one.  Sorry Joanne.  You better come back soon!

(http://i414.photobucket.com/albums/pp229/lenorem9/joanne4-1.jpg)
Title: Re: Patella stabilisation post op diary
Post by: Davori on October 06, 2008, 07:45:42 PM
rotflmao......... good job lenore... ;D ;D ;D ;D ;D
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on October 08, 2008, 05:26:33 PM
Joanne, sorry I missed your final goodbye!  Have a great trip!!!!!  Say hello to Mickey for me :) Haha!!! 
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on October 08, 2008, 05:35:26 PM
Oops.  I just realized I deleted the photobucket photos I did and now you can't see them here anymore.  It's just as well.  That way when Joanne comes back she won't know I've been altering her image.  Shhhhh! 

Joanne, hope you're having a blast and come back to us soon!  We miss you!
Title: Re: Patella stabilisation post op diary
Post by: Davori on October 08, 2008, 10:42:10 PM
Nope lenore... they are still there...heheheh  now Im not the only one in trouble when she gets back.....
I hope she is not getting any of this rain we are getting.... Disney in the rain is no fun..
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on October 11, 2008, 01:16:20 PM
yesssssss she is gone. now we can hijack her thread......lol   just kiddin joanne... 8)

no seriously... what will I do without her encouraging words????  I miss you already Joanne......

sorry this response is delayed (I've been away for a week)....but your comment made me laugh.  Go ahead and hijack it, lol. that's what I used to do to Lenore's thread until she finally gave in and decided to share it with me, lol :D
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on October 11, 2008, 01:17:55 PM
Itrs a small world after..all     its a small world after   all   Its a smalllll world affffter allll    its a small  small world... In a world of laughter   a world of tears... a world of something and a world of fears.... anyone know the rest..... maybe by the time she gets back we can sing it with her.....cause im certain she wont get the tune out of her head for months.......lol   I want to go to disKNEE.......

I LOVE that song!!!!

lol, DisKNEE (I LOVE how you did that play on words) :D
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on October 11, 2008, 01:18:31 PM
Have a safe trip Joanne. and thanks again for caring (about Martin too). xoxo
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on October 15, 2008, 11:50:12 PM

Its a small world after all....its a small world after all....its a small world after all, its a small, small world. Its a world of laughter a world of tears...its a world of hope and a world of fears....Theres so much that we share that it's time we're aware its a small world after all.....



THERE YA GO!! ALL THE WORDS!!  I LOVE THAT SONG TOO!! :D

Donna

Title: Re: Patella stabilisation post op diary
Post by: Davori on October 16, 2008, 12:37:53 AM
Theres so much that we share that it's time we're aware its a small world after all.....

YAY!!! Danna  isnt this sooooo true.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on October 17, 2008, 05:45:37 AM
you guys rock !!!!!!!!!!!!!!!!!!ided just to move in with Cinderells

I am having a blast...the knee is suffering hugely and I'm popping pain killers. Sorry not got online muych, its hard to get access. I have decided to move in with Cinderella's prince in her castle and just stay.

I can hum small small world all day long...thats a telling tale eh :)

Cant find the mickey ears photos but talking of which....me and my girls...my little buddies......
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on October 17, 2008, 05:47:38 AM
just like to add I didnlt walk about with that on all day...we tried them on in the shop but by the end of the day my kids had bought me mouse ears that just clipped on my hair.

Talk to you all when I go home, I leave Saturday and arrive home Sunday. My PT texted me, will fill you all in then.

Love to all
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on October 17, 2008, 07:12:00 AM
Joanne....Glad you are having such a wonderful time with your family!! ;D Princes, Princesses, Castles.....ahhhh.....dont you wish real life was a fairy tale like that??  ;D Dont forget to "Wish Upon a Star"....kiss Mickey and Minnie for me.....and enjoy the last few days of your vacation. Miss ya. Talk soon.

DONNA
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on October 18, 2008, 12:02:18 AM
Hey Joanne!

It was great to hear from you!! love the pic! Sorry your knee is paying the price (but at least you have painkillers to help).

Can't wait 'til you get back so we can hear all about it and see more pics!
xoxo
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on October 18, 2008, 01:15:21 AM
Thanks for checking in Joanne.  I love the picture.  The ones I had on here were your face in Mickey and Minnie bodies but I deleted them from photobucket by mistake.  Now you have no evidence that I altered you picture.  LOL

Enjoy the rest of your trip!  We missed you!
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on October 18, 2008, 04:25:45 AM
Joanne, it's so good to hear from you.  I am glad you are having such a great time with your family.  You have beautiful girls!!!   I can't wait until you get back to hear about it all!  I am also anxious to see what your PT finally texted you about.  have a great last few days of vacation!!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on October 18, 2008, 07:51:37 AM
Glad you have been having an awesome holiday.

Look forward to hearing more when you get back.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on October 20, 2008, 10:49:00 PM
You know what I had an amazing time. I just cant fault the attitude to customer service in the USA. Manners, politeness and a real happy attitude.....I LOVE disney. Every staff member from street cleaners to characters when they speak to my kids say Hi Princess and the smile they had every day...*sigh* I lived a million dreams just watching their little faces. We saved long and hard and it was worth every penny.

My knee ached tremendously and it would swell every day. I brought my brace and always had it in the back of the stroller and put it on when I couldn't bear it but it was so HOT ! I loved the heat, it was late 80s and home is 50s......so we are back home with rain, strong winds and damp cold weather.

I have some fab photos and once I upload them I will show you.

On the pup front.....our breeder is driving him up to me on Wednesday, I just need to pay her petrol costs !!!!! Yay we can't wait. I will get you photos of that too.

The knee front......my PT spoke with the OS and I have to phone and so will do tomorrow.

Hope you are all well and THANKS so much for posting in my absence - I really appreciate it.
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on October 20, 2008, 11:52:03 PM
Joanne, welcome back!!!  Thanks for checking up on me earlier!!!  We missed your updates while you were away, but happy you had a good time!  So sorry about your knee giving you problems.  Too bad you couldn't borrow a wheel chair for the Disney days!  I am so happy for you and getting Ben this week!!!!!!!!!!!!!!!!!!!!  I can't wait to see more pics of him growing up!  Has your husband been better lately?  Hopefully the vacation was good for the entire family :)  My husband and I have had some problems over the last week or so, but it has improved now.  We need a vacation, but don't have the paid time off or the money to go anywhere.  We can't even save b/c of my medical expenses.  While you were gone, I developed some issues with weakness, dizziness, feeling like passing out, etc.  So today i saw my GP and will get my blood test results probably tomorrow.  My back has improved with the help of my PT's acupuncture, but still have lots of problems with it, so now I am scheduled for an SI joint injection next week.  B/c of almost passing out a few times at PT, I had an incident where they wouldn't let me drive and made me call someone to pick me up (this was Tuesday of last week).  So then they called my PS and they made me see a neurologist for tests...I learned that my CRPS/RSD spread to my foot.  Everything else nerve related is good and he recommended seeing my GP to figure out what's going on.  They finally took me off of roxicodone since it made me itch so much and now I am on morphine IR (immediate release) along with the Avinza (Morphine ER-extended release).  That's basically all you missed while you were gone.  You don't have to read up on my diary if you don't have the time :)  I know how long it can take at times to catch up on other's, so I would understand! 

I am definitely anxious to hear more about your knee stuff when you get a chance.  I hope you get to rest before getting your new puppy!  I highly recommend crate training!!!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on October 21, 2008, 03:56:10 AM
WELCOME BACK, JOANNE. ;D Glad your trip was everything you dreamed it would be. Cant wait to see pics of the "new family member"....

DONNA
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on October 21, 2008, 01:32:16 PM
YAY!  Joanne is back.  I'm so glad you had a wonderful time at Disney.  It's hard not to have a good time there especially with kids.  Isn't it amazing how you enter another world when you're there?  It truly is magical for kids and adults too. 

Sorry you're still having such pain and swelling with the knee.  Let us know what you find out with OS phone call.

Can't wait to see Disney and Ben pics too. 
Title: Re: Patella stabilisation post op diary
Post by: Davori on October 21, 2008, 04:12:18 PM
Welcom back Joanne!!!! You almost made me cry when you said  I lived a million dreams just watching their little faces. We saved long and hard and it was worth every penny.
Its sooooo true!! to see our children happy, its the best feeling in the world.... While they are young and still believe in "the magic'.....  tyler still loves Disney... and so do I... but there is just something really special when they see Cinderella.... or Buzz light year.... and actually believe thats the real one!!!! :D warm fuzzies...... lol 
Did you get to use the Fast pass???
YAY  Ben is finally coming!!!!
Sorry you had pain while on your trip... Did it prevent you from doing what you wanted??? Details..... I want details ! ....... lol lol        Glad your back!  Hugs...Lori
Title: Re: Patella stabilisation post op diary
Post by: tanyap on October 21, 2008, 10:03:31 PM
Welcome back Joanne!!! so glad to hear you had a great time!!
i have no internet access in work anymore so not on so much but will log on later in the week at home for a long newsy post to you!
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on October 22, 2008, 10:21:16 PM
awww Tanya I have missed you :)

Well guys spoke to my PT. The OS is going to wait until the op and decide if they will use a hamstring graft or do something with my own tendons. I will go in to see him in a couple of weeks.

TODAY - BEN ARRIVED !!!!!!!!!!!

He is tiny !!!! He is 7 and half weeks almost 8 weeks old. Tell me he is so tiny and he is trying to chew on our hands all the time, we say no and are quite firm but he seems oblivious. Its maybe first day thing with all of us, but how much do you correct what is only teething behavour ???? Open to any inout here.

I will fill you in and catch up properly but this week is a bit manic.

Hope you are all ok.
Title: Re: Patella stabilisation post op diary
Post by: KW on October 22, 2008, 11:06:19 PM
Hi Joanne, 

Sorry it has been so long since i have posted...work is keeping me on my toes!

So exciting that you got Ben!!!  I bet the girls are almost as excited as you are  ;)  Can't wait to see pics!!!!!

When Foster was teething anytime he would go to bite on something he should not chew I would firmly tell him NO then give him somethin that was his and OK to chew.  I would actually put a bone in his mouth.  I would praise him once he would chew on the bone.  He got the idea quickly what was ok to chew on and what was not.

Good luck with Ben....I hope you just love having him around!

Take care,
Karen
Title: Re: Patella stabilisation post op diary
Post by: brianne on October 23, 2008, 12:55:22 AM
Joanne,

My Benny says Hi to your Ben.
 ;D

Brianne
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on October 23, 2008, 12:25:44 PM
Pictures, pictures, we want pictures!!!  How's little cutie Ben being?  No more biting I hope. 
Title: Re: Patella stabilisation post op diary
Post by: Beda on October 23, 2008, 06:43:28 PM
Joanne, it is 100% normal that small puppies chew on everything they can get their teeth in! I agree in what karen is saying by firm but kindly stopping the 'play biting' by taking away the object you DONT want chewed on and giving him something its OK to chew on!! He'll soon catch on. Whats really good for them is a rope tied in a knot or a rubber bone or even just an old sock that your going to throw out and tie a knot in it and give him that to play with. Little puppies are like human babies. they investigate everything by first putting it in the mouth. They learn then whats to eat and not to eat, what to play with and what not to play with. Dont let him chew on your fingers, they will get very sore and he learns that its ok to bite into you. It NOT!!! But dont bawl at him or be physically violent, then youll get a scared 'broken ' dog. You can with gentle training 'make'  a puppy to be a good dog, but if you mishandle them you can also 'break' a puppy, so it grow up scared and insecure. You obviously want to make and not break, so be gentle but firm. One good excersise you can do with him that teaches him to come to you when you call is to have 2 people about 25 yards apart in an open space which is safe, and throw a ball to each other by letting it roll over the grass, calling him to you as you get the ball thrown to you, so he chases the ball, learns his name and learns that he should come to you when you call. Do this in pedulum speed until hes got the idea. they love to this, and dont forget to PRAISE HIM to the skys everytime he comes successfully and doesnt wonder off!!This excersise is suitable for tiny puppies, and as hes only 7½ weeks hes in the right age.
So happy for you that at last you have your dream dog!! Look after him and most of all yourself and you poor old knees.
Love Beda xx
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on October 26, 2008, 01:02:04 PM
Hi Joanne,

I'm glad you're back! Sorry, I've had stuff going on last week so wasn't really able to read through everyone's journals and post until this weekend. It sounds like you had such a wonderful time at Disney. I hope to go there one day. I don't care if I'm in my 30s when I go for the first time. I'm a princess and I'll bring my own princess costume and everything, lol (ok, so maybe I won't wear a costume, lol). but I'll definitely wear a tiara all day every day around the park.

I'm so excited that Ben is here!! Or I should say "there" :D.  Sorry it's been so long that I don't remember what breed he is.  You know how to post pics, right? Like Lenore, i'm dying to see some pics too! Puppies are sooooo cute!!!

I hope you're having a great weekend! :D
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on October 29, 2008, 05:05:28 AM
Hey Joanne....Just checking in to see how you are doing and how Ben is liking his new home. I hope all is going well.

Thinking about you....

DONNA
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on October 29, 2008, 09:56:26 AM
Hi Joanne,

Just checking in to say hi and see how you are doing. Great news that you have Ben now. How's he doing ?

Rusty says hello to Ben. I'll try and post some pictures of Rusty on my post-op diary soon.

I've had a pretty rough time in the past week or so and had to take this week off to get the pain under control. Ended up in hospital on Sunday night. It's all due to an incompetent OS I had to see last week as part of the TAC. My lawyer has swung into action now. So, hopefully it will get resolved soon.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on October 30, 2008, 09:49:34 PM
Kirsty sorry to hear about the pain.

I am so sorry all that I havent been online or posting replies and piccies to you all...you are all so good to me. I have just felt very needed by Ben...well not that he needs me as such but with it being his first week I felt I needed to study his routine so I could guess when he nees to toilet. It is freezing here and he is so tiny he is shivers badly when outside. Inside we have newspaper down but despite me lifting him over after food, or when he circles etc its luck if he goes on the newsppaer...so I am loving him but having to watch him constantly just now. Because he is so small I have to limit the rooms he goes in so he doesnt hurt himself or fall through holes in the banister on the hall stairway etc.

So promise to get on with photos tomorrow and reply to you all...please know you have been in my thoughts.

My op is 3 weeks tomorrow and I am now scared a bit. I have had to advertise for help for the kids etc as my hubbie just cant help me this time and I am working overtime to gt the money for this.

Talk to you all soon....again so sorry for the delay in replying  :)
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on November 01, 2008, 05:02:09 AM
Hey Joanne....so good to see you posting. Im glad you are enjoying Ben. When we got Peanut, I found that getting a crate (cage) for him and keeping him in there alot helped in training him. They usually wont potty where they sleep, so the key is to take him to the paper as soon as you bring him out of the cage. Once he gets the hang of it he will know to go as soon as he gets out of there. ( Peanut is almost 4 and if he is in his cage for any reason, as soon as we let him out, he goes to the door). After he gets better at going on the paper, keep moving it closer and closer to the door, and pretty soon he will know to go outside. Just some things that I thought might help you. Watching him and learning his routine will help immensely. Be patient. Praise him lots. Before you know it he will be all potty trained!! :)

Im sorry you are having so much stress over this surgery. Everything will work out. Just take one day at a time. I will be thinking about you as always and keeping you in my prayers as well.

Keep us updated. Ive missed you.

DONNA

Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on November 01, 2008, 09:31:36 AM
Hi Joanne,

How's Ben going ? I am having so much fun with Rusty. Been playing ball a lot with him. He's really funny. I through the ball up the drive and waits till it's nearly near him and picks the ball up. His paws and ears are still out of proportion. Will try and post some pictures soon.

I hope you get some help for the kids soon. Before you know it your operation will be here. It will be good to get it over and done with before Christmas. It's only natural to feel nervous. Am sure it will go well.

Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on November 01, 2008, 10:39:30 AM
Hi Joanne, glad to hear things are going well with Ben.  Aren't pets great?  Can't wait to see the pics. 

3 weeks to your surgery and then you'll be on the other side.  Can't wait to hear you going forward instead of backward again. 

Have a great day!
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on November 02, 2008, 09:53:04 AM
Hi Joanne, I hope you are doing okay right now.  Sorry I haven't posted here in a while.  B/c of my post op pain, I can usually only stay on the computer for a few minutes.  I have been thinking about you and your puppy though!  How are things going??  How is the housetraining coming along?  I forgot, are you crate training him? 

Let us know how everything is going with you.  Enjoy this time before surgyer :) 

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on November 02, 2008, 05:03:25 PM
Hi guys

Well days are just rolling into each other and I am trying to be so organised. I have been interviewing people to help with my girls after my op. I think I have found someone but now I am having to work all the hours I can to pay for her when she comes. 5 days a week for 4 hours each day and I have to find the money.

I spoke with my PT and will go in and see him the week of the 10th. My OS hasn;t decided what he will do - whether he feels he can reitighten all the medial side or whether he will have to use a hamstring graft - he doesnt want to put me through more if he can help it so I guess I will need to wait and see. I feel sick with nerves because although I have been through it before I feel as if this time there is so much more going on with the kids especially because my husband cant be around and I know I need to pull it together quickly after this one and just get on with it.

Since coming home from hols my knee has been much sorer even just to sit at the computer, I dont know if its because the temp has dropped here so much or if its all the walking on holiday, time will tell I guess.

ANyhow I hope to be more organised now so I can get online as I so miss you all and the updates and find myself thinkign I wonder where Tanya has got to, how is Kirsty doing, has T had his other op yet, poor lad going through all that so young, How is Nevella and Lenore, has Donna had news on her testing kit yet ? How is Farrah, is the post op got any better....and everyone else too !

I hope you are all well.

Now for photos, I have to re-size them all so I can post them here but here is one of my girls...playing dress up and of course Ben was a very important part of the play. The girls are loving him....and you know what he is loving them too. It makes my heart melt....but boy is it going to be fun trying to chase him on crutches :P

He is tiny, but so incredibly cute. We have newspaper down and place him on it repeatedly after he eats or gets up from a nap and most of the time he will pee on it....but he will also happily wander off and pee on the carpet ::) but he is cute !
Title: Re: Patella stabilisation post op diary
Post by: Davori on November 02, 2008, 05:54:58 PM
ohhhhhhh Your girls are beautiful!!!!! and Ben is sooooo gosh darn cute! 

Im so sorry you are having pain.... Stress can add to that too.... I know that you are busy trying to get all your ducks in a row....and Im sure that you are trying to keep busy to keep your mind off the upcoming Op.  I was crazy before T's second... and very relieved once he had his happy meds... All went well the 1st few days... then the bottom fell out... but today I am optomistic....This too shall pass and ...Im sure that you will sail thu these next few weeks with flying colors..... Good luck getty all ready and finding that perfect someone to help you out.... I would volunteer   but Im far from perfect.... lol 
                                           Hugs.... Lori
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on November 02, 2008, 06:49:39 PM
OMG!!!  I can't decide who is cuter, the girls or the dog.  They're gorgeous.  Your little Ben is so perfect he looks like a stuffed animal. 

Sorry to hear your knee is worse.  Hope it's just from overuse while on vacation. 

Good for you lining up lots of help for postop.  It will pay off for sure. 

Enjoy your little Ben and don't worry about the pee puddles.  He'll learn quickly. 
Title: Re: Patella stabilisation post op diary
Post by: KW on November 02, 2008, 06:51:11 PM
OMG....All 3 are just adorable!!
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on November 02, 2008, 07:03:33 PM
awwww thanks guys. I am biased but I love all 3 dearly !!!

How do you stop the biting ? We say No firmly and offera  toy but he comes back and tries to bite, I can manage him but I amj trying all the time to show the girls as his wee teeth can give quite a nip now.

However he is also the cuddliest most affectionate sweet heart ever. He is funny and I so look forward to after Thursday when he gets his 2nd jag and 5 days after that we can go walks. We play in the garden but I think maybe ist frustration and when he can go a big walk he will be better. Its not that bad and you can get him to stop but wondered if there is agood way of doing it, better than wehat we currently are doing :)

Oh I'm so nervous guys......I have had 4 ops before so I dont get why I am feeling so worried this time.
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on November 02, 2008, 10:24:38 PM
Joanne, you definitely have your hands full!  At least you have such a good looking young family!  Your daughters are adorable and so is Ben!  I bought myself a calendar today for 2009 that has a picture of a Cavy on it that looks just like Ben!  Anyway, for the biting, Marshall used to do it very very badly and I was worried that since he was a jack russel that it would last forever.  Here are some solutions that helped us.  Get a spray bottle full of water and spray his nose every time he does it.  Say no when you spray...a firm no.  Another solution that we did was say no and tap his nose to startle him a bit.  NEVER pull your hand away when he bites b/c then he thinks you are playing with him.  I have heard of a technique when you replace the hand with a toy, but I see that as rewarding the biting.  Just keep being consistent with whatever technique works best and he will stop after a week or so.  Marshall was very very bad at it.  Don't let Ben bite toes or anything that he isn't allowed to have no matter how cute it is.  The girls have to help with this training also or it will be a waste.  For most bad behavior, a spray bottle works great!  They hate the water being sprayed and they stop whatever it is that they are doing.  This method worked for Aury, but not as much for Marshall.  Marshall was more stubborn and we had to kind of smack him on the nose.  It worked though!  We never hurt him, just startled him.  It's important to nip those bad behaviors in the butt early.  Whenever he does ANYTHING that is bad, do NOT take him away from the situation, but correct it and force him to stop himself.  If you take anything away from him, he will either think it's play time, or he will always think that he can get into anything until it's taken away.  He will never know what's okay and not okay to do if things are just always taken away.  He has to learn that what is right in front of him is wrong. 

Oh, if you continue to have problems, bitter apple spray is a good solution too, but I doubt you will need to go that far.  They hate the taste of it.  It's just like using a spray bottle technique, except there is a gross taste with it.  It's not as easy to use b/c you can't get it into their eyes when you spray their nose with it.  You can also spray that stuff on things you don't want your dog to chew on...like the bottom of the couch, base of the coffe table, etc.  Both of my puppies like to chew some things they weren't allowed to before, but once we sprayed that stuff, they never chewed it again.  We used to have a huge persian rug in the living room with the little tastles on the edges.  Needless to say, they loved chewing those.  So we sprayed the bitter apple spray and they never touched it again. 

Joanne, I have raised two very well behaved dogs which were my first to ever have.  I get compliments on their behavior all the time all from reading books and being consistent and stern.  It sometimes has to be tough love if you want a well-behaved dog.  Let me know if you have any other problems b/c I am sure I have dealt with it in the past. 

You may have done this already, but get a special pillow or bed for Ben to have in the living room so he can have his own space.  When dogs get bored or just want their private space, they retrieve to this area for rest knowing that they will not be bothered, but will still be around the family.  This could just be the crate if you are crate training.  Both our crates are in this computer room and both dogs go in there when they are tired.  We leave the doors open to them always when they don't have to stay in them.  It's important that they know it's their space and that it's a good place to go.  Never punish dogs by putting them in their crates.  Oh!  Never give the dog what he wants!  They are not allowed to make decisions...they are the family pet, not the owners.  Offer toys and treats, but never let him ask for them :)  Okay, that's enough dog psychology for one day :)  I will be happy to help with anything else!!!!!  Love training dogs!!!!!  Maybe if I get laid off from architecture, I can take up becoming a vet technician...that would be so fun!!!! 

Okay, gotta go now. 

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on November 03, 2008, 09:32:50 AM
Farrah

That is excellent advice and I am going ti start the water spray, because you are right we are switching our hands for a toy and it has not helped at all so I think he may see it as a reward. Please keep all the dog psch coming...I need it all :)

Thanks for the nice words on my girls, I am truly blessed and they are the best thing in my life...with hubbie and Ben of course but I am so proud as I have 2 well behaved girls........they are so helpful to me and I am so grateful for them.

ANyhow enough mushy stuff from me. How is everyone else today ?
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on November 03, 2008, 10:47:26 AM
Hi Joanne,

They are great photos of your girls and Ben. You must feel so proud.

It doesn't matter how many ops you have the nerves are always there. When I had my last op I was really worried about complications and if I ever had any queries I contacted my OS or sports physician.

Am sure you will be fine. It's often worse thinking about it.
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on November 03, 2008, 12:36:13 PM
Hi Joanne, let me know how the spray bottle idea works.  It always worked like a charm for Aury.  Hopefully Ben will respond well to it.  Just make sure to always say no sternly when spraying.  That way he can correspond the two things together.  "No" means getting sprayed with water and to stop what I am doing.  So eventually you will not need the spray bottle.  "No" will be enough. 

I still haven't read if you are crate training or not?  I know you thought of doing it, but not sure if you are.  It's the best training device ever!  How is housetraining going?  Does he know to go potty outside?  Have you read any puppy books about that?  There are ways to make sure he has to go and what timing it is with when you feed him food and water.  So after a certain amount of time you take him out and tell him to go potty and he will have to anyway.  Then later he can sniff that area and know what to do there.  Everything I have read always said to control potty breaks yourself and to NOT let the dog tell you when he has to go outside.  The problem with that is that you want the dog to tell you he has to go!!!  Around here, we generally have a pattern of events.  Every time we get home from anywhere, we go out.  After play time we go out.  Well now they basically know that if they stand by the door or run from the door to us, that they can go out.  So unfortunately, they are telling us when, but we try to control it before they have to tell us.  It's like I said before, dogs aren't suppose to tell you what they want or what they need. 

OH!  Another helpful thing to show that you are the dog's owner is when it's time to transfer from one room to another, DO NOT let Ben go first.  You always have to lead him anywhere.  So what we have done is make the dogs sit and stay, then I open the door, go out myself, wait a few seconds, then say "Okay" and that's the dog's cue that they know it's okay to enter.  This shows that I am their leader.  It works great!  They always know that they can't go through a door until they are both sitting nicely and wait for their cue.  Okay, that's enough for now.  I really could go on all day :) 

It's so hard to treat your dog like he's a pet and not a baby!  It's important though if you want a well behaved dog.  It stuns me to go to some people's houses where the dog hardly knows how to "sit" and "stay"!  Those commands are important in controlling your dog...otherwise he controls all situations with his energy and chaos.  Since my dogs know how to act, I treat them like babies when they are being good....when submissive is when it's okay to give lots of attention. 

Sorry about your knee stuff, but you are getting it all situated very well.  I know how much it sucks to work just for having knee surgery.  Last year I had to coach at gymnastics lots of extra hours to save up the $2000 it would cost for surgery in January.  I would come home dying of pain, just so I could get it fixed later.  You are doing the right thing though!  I know you are nervous, but trust your OS and you will be on the right track soon enough :)   Just focus on Ben when you are nervous!!!!! 

Have a good week!  Let me know how the spray bottle works out!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on November 03, 2008, 01:31:34 PM
Farrah, can you come up here and train my neighbor's dog so when I dogsit he behaves?  Sounds like you've got it figured out.  Do you ever watch the Dog Whisperer?  I love that show and I don't even own a dog.  Everything you say is so true.  You have to be the alpha, not the dog.  Too many people treat their dogs like kids instead of animals.

Joanne, I'm sure your surgery will go fine but who doesn't worry?  I worried before, during, and after.  I think I'm still worrying.  If you aren't worrying you're not human.  That's what I say.  Just think how much better you'll feel and how much more you'll be able to do when it's all healed up. 

Hope your pain is a little better today. 
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on November 03, 2008, 02:08:10 PM
I love Dog Whisperer, but that's where my dogs aren't well-behaved...I can't watch that show b/c they attack the TV when they see dogs or any animals on tv!!!!  So I can't ever watch shows or movies that have animals in them unless Matt is there.  They don't attack when Matt is home b/c they know he can get up and spank them....I can't exactly just get up and punish them....just sit on the couch and watch them do it.  I learned a lot from that show though.  The methods I have used for training my dogs have been some of what I learned there, some common sense, and some from other books.  Training dogs is so much fun!  Once I went to this guys house who's dog didn't know how to sit!  I couldn't believe it...so within just a few minutes I taught her how to sit and stay.  I attempted lay down, but didn't have patience for that one since I would have to get on my knees to teach it.  SHe's a little dog. 

Okay, talk to you guys later.

Farrah
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on November 03, 2008, 05:21:39 PM
Joanne....Your girls are absolutely beautiful!! :) And BEN is adorable.  :D

Try not to be too nervous about the surgery. I  know thats easier said than done, and you will be telling me the same here in couple of months. :-\ But try and focus on the part that before long, you will be on the road to recovering and hopefully getting this knee stuff solved.

Thanks for sharing the pictures. I love them!

DONNA
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on November 05, 2008, 07:17:08 PM
Thanks Donna and everyone.

We do go out but as yet he will wee when he goes out and in the house its 80% of time on the paper...but we have to put him there and be vigilant. Poohs well...he is only in our kitchen and he poos at will. We do go out but its hard just now as he hasn;t completed his jags so it will be so much better when he has had them and we can go walks and organise our day a bit more.

He sits now when we tell him, but the rest is a work in progress.

We do use crate so that helps for night time. But he is so wee still and young that the vet has told us not to have huge expectations yet that he is young and it gets better as he gets older. So I'm hoping by 16 weeks we may be doing better.

I am now relly getting a bit nervous...more about the practicalities afterwards but I will just need to get on with it.
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on November 05, 2008, 07:53:54 PM
Joanne, go ahead and worry but the surgery will be done soon and you'll be on the road to recovery before you know it.  Counting down...2 more weeks?
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on November 06, 2008, 02:32:58 PM
Joanne, it sounds like your puppy training is going well.  How is the biting stuff coming?  Is the spray bottle technique helping?  You can tell when your puppy has to poo if you glance at his butt and see it protruding a little bit and his stomach enlarging some.  WHen you see that, take him outside right away and he will not have a choice but to go there.

Oh, whenever he pees in a correct place, reward him with praise or occassionally a treat.  Do NOT give him a treat if he stands by the door to tell you he has to go...then he will always go to the door to get a treat.  I hope that little bit of info helps. 

I know you are nervous.  Just keep thinking about Ben :)  Do you have to get him groomed a lot?  Will you take him somewhere or do it yourself? 

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on November 06, 2008, 03:13:36 PM
His coat will grow and I don't know if it will need trimmed. If it does I will take him somewhere.
He had his 2nd lot of jags this morning at the vet, so this time next week he can go out walks. Yipee !!!

I am raki g a sore throat and feelin a bit lousy, shivery and all. Tonight is parents tonight at school for my 7 year old too. Have to phone my PT on the 10th as I am going to try and meet him for a chat.

How are you all doing ?
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on November 07, 2008, 10:20:26 AM
 :o eek having a freak out day. Surgery is 2 weeks today.

Mentally I have decided now that this surgery is it. I figure having gone in for something minor originally that if they cant fix it....whatever the "it" was that was originally done to leave me with all these probs, then after this attempt I will live with it. I know circumstances have not helped me and that my OS has had to go in and sort out issues which were bad luck and not his doing and I do have faith in him. Again this week he was recommended to me by someone who works for the SRU (SCottosh rugby union) as the best hands to be in for knee injury / issues etc.

SO the coutdown is on. From deciding in August to it being now is scary : :-\

I feel lousy today have a fever and sore throat and got a docs apt as I know I need antibiotics and soon.

Anyone see Tanya around these days ? Has she graduated from KG and left us now ?

Hope everyone else is ok
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on November 07, 2008, 12:02:15 PM
Just back from the docs and he said my glands are huge and my throat us badly infected. He gave me double strength anti biotics coamoxiclav or something like that. Head pounding and a temp so will try and check up on you all later.

After all this thread carry on I feel paranoid cause I have posted twice today on my thread. Promise its only because I may not get round all your threads and didn;lt want you thinking I was ignoring you all. Hope you are all ok  :-*
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on November 07, 2008, 12:10:59 PM
Hi Joanne, So sorry that you are sick!  I'm sure you are worried about getting better fast enough for your surgery date!  Did you tell your GP that you had to be better in two weeks?  Is that why they gave you the extra strength anti biotics?  I Hope so. 

Don't worry about posting on your thread!!!!  Post as many times as you want.  You are having surgery soon and probably have lots to vent about on your way!  Nobody really cares about what happened, so don't worry about posting. 

Tanya has lost free internet usage at work now, so she can't get on KG until she gets home which is when she doesn't have as much time.  She pops on now and again.  She seems to be doing really well though. 

I hope you are okay!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on November 07, 2008, 12:11:50 PM
Hi Joanne,

Sorry you are not feeling well. I hope you start feeling better soon. You have a great attitude about your surgery. It will be good to get it over and done with.

Tanya isn't around as much as she doesn't have internet at work any more and was having problems with her internet at home. She does come on KG though.

Don't worry about those idiots that made those comments. Post as many times on your diary as you like.
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on November 07, 2008, 12:26:24 PM
Hi Joanne,  Sorry to hear you're sick.  Hope today is a little better. 

Good to hear your OS is highly recommended and you only have 2 more weeks until surgery.  I love your attitude!  Keep up the good spirit!  You are strong and will do fine!

And as far as posting too much...well I think you know where I stand on that issue...I must fall into the category of "long diaries" and posting too much too.  LOL
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on November 07, 2008, 05:36:55 PM
Awwww Joanne. Just wanted to send 'feel better hugs' for you. I hope that the antibiotics kick in real soon and that you will feel better quickly. Gosh, when it rains, it pours, huh? Take good care of yourself....some chicken noodle soup maybe? Hot tea with honey and lemon? Geeshhhhh now I sound like your mother. Sorry. :-[ Feel better. :)

hugs....DONNA
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on November 07, 2008, 07:22:47 PM
Thanks for all your wishes...Donna you can be my Mum anyday  :-* ...your too young to be my Mum, but a substitute Mum anyday (hugs)

To everyone else you are all amazing, feeling absolutely awful so just a quickie. My ears and throat are just so painful but a good nights sleep and more meds will hopefully kic in within 24 hours.

Love and husg to you all :-*
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on November 11, 2008, 10:06:26 PM
Hi guys...its been a few days. I was so ill over the weekend. I took a weird reaction to the meds and it gave me stomach pain which meant I was doubled over and then headaches like migraines. Anyway I phoned the doc and they changed my antibiotics and that helped.

I spoke with my PT today as I was having a freak out day and he talked me through my panic and was really nice. Basically said we want to end this instability and get me active again and I can do it....a big you can do it talk as I was seriously having 2nd thoughts. I think Iwas just feeling a bit down and then I remind myself what some of you all go through and to catch myself on. I am lucky compared to others struggles and to buck up, be +ve and get on with it. SO thats what I am trying t do.

Still on anitbiotics as they say if it goes into my chest they wont operate next week and after all my organising that would be a nightmare. I found a girl to help with the kids and she starts next Monday argh....its really that close now.

Anyway, how are you all. Missed you all
Title: Re: Patella stabilisation post op diary
Post by: Tabitha on November 12, 2008, 02:51:19 AM
Aww Joanne,that sounds awful. I am glad the antibiotics helped.That sounds like it was a nightmare.

I know how rough panick attacks can be, and this knee has put my mental health through the ringer. I think many of us can sympathize with how much it does to the psyche.

I am glad your pt was able to help you out! I hope you heal fast. I can't believe you're in PT already!

Tabitha
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on November 12, 2008, 08:22:45 AM
Hi Joanne,

Sorry to hear you had a reaction to the meds, but glad you are on the improve. It was touch and go whether I could have my operation in May as I had a chest infection that wouldn't go away. Fortunately my doctor found an anti-biotic that worked and kept the anaesthetist updated on my condition. After the operation I had a bit of trouble breathing, but my OS said to do some deep breathing which really helped.

I also had a few freak out times before my operation. It didn't help that my sports physician was freaking me out. I ended up going back to see my OS and just reassured me that it would be ok and was the best decision to have it done. I then felt a lot better after that. My OS actually told my sports physician off for rocking me.

Glad you have found a girl to help you. I hope it works out for you. What day is your op ?

Thanks for your lovely message on my diary, it really helps while I am going through this difficult time.

Sending you positive vibes to get well soon. xxxxx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on November 12, 2008, 09:39:06 AM
My op is on the 21st of November

A week this Friday,,,,,the countdown is truly on.

Yes I have a girl starting Monday who can help take kids to school and nursery etc and take pressure of my hubby who is stressed out...still at work  :-\

Anyhow, things are still a bit chaotic, BEN is very cute and we love him but toilet training is still a work in progress and telling him no for biting seems to be  a game in his head and we are calm and assertive (as cesar says in Dog whispere lol) but Ben just starts a game and the whole SSSHH thing and a wee poke in the shoulder does nothing at all. It will keep me busy if nothign else.

How are you all?
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on November 12, 2008, 10:45:25 AM
Hi Joanne,

Your surgery date has come around very quickly. It will be good to get it over and done with.

Sounds like you are having fun with Ben. Rusty is still a challenge too. Trying to be firm with him and let him know who's boss. He will start puppy classes in just over a week hopefully. I am so glad I have him. He's great company.


Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on November 12, 2008, 12:19:24 PM
Joanne, what did you do?  Catch Lori's awful cold?  Sorry you're feeling so terrible.  Hope today is a little better. 

That's great you have help lined up and you are so prepared.  That will make such a difference and relieve some of the postop stress. 

Give that cute little Ben an extra hug from us.  He's so darned adorable. 
Title: Re: Patella stabilisation post op diary
Post by: Davori on November 12, 2008, 08:25:33 PM
Hey joanne.... i just wanted to pop in to give you some tissues.... and some virtual chicken soup... i am finally feeling better, and Im so sorry you are now under the weather...hurry up and get better before your surgery... I cant imagine having that cold and coughing n such with a post op knee.... I think I still use my whole body to cough..... lol    Im glad you have arranged for some help... it will take loads off you... Just know Im thinking of you....... Get well.... hugs   Lori
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on November 13, 2008, 07:32:06 PM
Joanne....Sending lots of hugs to take away the cold, hugs to help with being patient in training little Ben, and big hugs to help calm your nerves for your upcoming surgery!! :) :D ;D I hope they help.

Hang in there.......You are always in my thoughts and prayers....

DONNA :)
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on November 13, 2008, 09:14:37 PM
Well I feel a bit better thankfully. I am having serious second thoughts about the op. Should I put myself through all this again, will it work and the unbelievable knock on effects on everything from arranging supermarket groceries, kids to their after school activities....is this selfish of me to go ahead with this. *sigh* I am confused and I just dont knw what to do tonight. I hope this feeling passes.....a week tonight and I know I will be getting ready.

Maybe I should take time out.

I'm rambling...sorry. Just thinking out loud.

Hope you are all ok. I designed my xmas card today.....one of our designers takes kids out of ordinary photos, my girls were sitting with ben on top of my bed and in cinderella dress up dresses. I asked for a christmas theme by a fireplace and tree and she done this for me. What do you think ? I am really pleased and will print it onto my xmas cards.

Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on November 14, 2008, 12:46:18 PM
Hi Joanne,

It is only natural to feel the way you are about your surgery. You can't keep going on like you are. So, I think it's the best decision you made. I felt exactly the same going in to my operation, but I really thought it would work. Was hard as I'd had failed surgery before. I haven't looked back since.

I love the card. Reckon it looks great. Need to start making my Christmas cards.

Have a good weekend. xxxx
Title: Re: Patella stabilisation post op diary
Post by: Davori on November 14, 2008, 01:26:03 PM
Joanne... that is soooooo cool.!  I Love the pic....   ahhhhh the fear sets in.... its natural.... Do you trust your OS? Does he think that your op will be successful? Do you want to have more normal knees, that do what you tell them to....?  Then Yes you are making the right decision..... Are you being selfish? No. Your kids want you to be pain free too... so you can enjoy life with them....It is NOT selfish to want to participate in Family life with normalcy......!  Try to keep yourself busy.... play with your girls while you can... and keep saying this is for THEM.......That day will come sooner than you know.... and you will be glad when its over......When tyler had to do the 2nd knee so soon after the 1st... I though I was being a terrible mom...but thats just the heart talking... your brain knows... it the right thing to do.... the anxiety leading up to it is sometimes worse than actually doing it....  Hang in there...
                          Hugs   Lori
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on November 15, 2008, 10:33:05 PM
NO you are not being selfish, YES you do need the surgery, and YES the card is absolutely beautiful! 

I asked Farrah "How's the pus?" so I'll ask you, "How's the snot?"  LOL  Hope you're feeling much better now.
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on November 16, 2008, 12:40:46 AM
Joanne, sorry I haven't been on your thread in a while!  I am glad you are feeling better!!!  I loved the Christmas picture!  It couldn't be more perfect how the girls were positioned on the bed!  Ben is just soooooo cute and exactly what I pictured when I thought of you getting a Cavalier! 

You are doing the right thing with surgery!  You definitely can't stay the way you are and Lori is right in that your kids don't want you in pain!  You have planned everything out it seems, so don't worry about it.  I know that's always easier said than done.  You will make it through.  I don't think the children part will be as hard as you think...well except rides to and from everywhere.  I think they will help you a lot around the house and such.  You are prepared!  I can't believe the surgery is next week!!!!  I'm glad it will be over for you soon and you will be on your way to recovery...real recovery this time!!! 

Good luck and sorry I haven't been around much...got laid off from my job yesterday and still dealing with PO issues from my back surgery. 

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on November 16, 2008, 09:00:32 PM
Farrah I am so sorry to hear that. I am sorry I havent been on your thread (or anyone's) for a couple of days. Just freaking out here :P

Anyhow, sorry thats not fair and I will be better.

Hope I pull it together. Last time I was away right up to the night before and it was better as I didnt have to think about things.

Anyhow I'm off to see how you all are  :-*
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on November 19, 2008, 03:21:34 AM
Hi Joanne,

I think your Ben and your girls are absolutely too cute for words! I love Cavalier King Charles Spaniels! Adorable!!

I'm sorry you're beginning to stress and freak out about your surgery.  Now that it's even closer, are you starting to calm down a bit? I know you're doing the right thing.  I read how lots of others are reassuring you too, so hopefully you're starting to somewhat put your mind at ease....... At least you have someone to help with the kids and such.  that must take a load off of your shoulders.

i'm sure your surgery will go amazingly well, and in no time you'll be doing your rehab and then be back on your feet, walking, etc. I don't know what it's like having to have knee surgery (or any type of surgery) and having kids (so really feeling like you have to get better ever quicker).  I'm glad you have help :)  And when you're recovering in bed at home, you'll have a cute doggie to come lick your face (or maybe your hubby likes to do that too?? lol. )

Best of luck on Friday, missy!!! I'll be trying to check back more often on people's journals. I just don't get time at work at all to go on my computer (I'm an elementary teacher, and at lunch i run extra curricular clubs or kids come in for extra help), and then by time i get home, i only usually have time to post on mine & lenore's thread (and I have posted on Farrah's a bit b/c of all she's been going through). But now i see that i've been missing a lot on your thread and didn't realize how close your surgery date was. So i'm sorry.  You're an amazing woman and I know you'll do great on Friday! xoxo :D
Title: Re: Patella stabilisation post op diary
Post by: Tabitha on November 19, 2008, 04:38:22 AM
Joanne,
     That picture is absolutely adorable, I can't believe it was done from an ordinary photo, how awesome!

I know that I had second thoughts about my surgery. I was so nervouse, and to tell the truth had I already gone through it, there is no way I could do it again. I commend anyone who has done this at all let alone more than once. It's no easy feat. But with a good family unit and some friend support you can get through anything. Im sure you wouldn't have everything planned if it wasn't necessarry.

Maybe if you get some time to relax and put some of that stress aside you'll be able to clear your mind. Some shopping might also do the trick! Get some cool shorts for after the surgery ;) That's what I did. It made me feel a teensy bit better at least.

Hope you're having a good knee day!

~Tabitha
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on November 19, 2008, 08:10:41 AM
Hi Joanne,

All the best for your surgery on Friday. Will be thinking of you. Do hope it goes well.

I know I was really freaking out the day before my surgery, but I tried to do as much relaxation as I could beforehand which helped.

How's the new girl working out to help out with your kids ?

I hope Ben isn't giving you too much trouble. Rusty is still jumping up a lot. Starts dog training this weekend.
Title: Re: Patella stabilisation post op diary
Post by: tanyap on November 19, 2008, 07:52:23 PM
Hi Joanne,
I havent posted on your thread in what seems like years!!! I dont have internet access in work like I used to and in the evenings (you will be pleased to hear) I am able to get out and about now so not so much time for being on the computer! So I guess I am living my life again - yippee!!!

Anyway, enough about me, what about you!!! Surgery on Friday - yikes! You need it done though pet, it has to happen, if you put it off itll come back and bite you again anyway so you may as well just bite the bullet eh?
How long will you be in hospital for?

How have you been besides the knee? Ive been reading your diary about Ben - so cute!! If he uses his teeth on you a quick smack on the nose with a loud NO, you have to smack hard enough to surprise him, thats what a momma dog would do except itd be a nip with teeth. They grow out of it, its all boundary testing etc...but you have to 'nip' it in the bud if theyre getting nippy - pardon all the puns there!!!
xx
Title: Re: Patella stabilisation post op diary
Post by: tanyap on November 19, 2008, 08:16:49 PM
Hi Joanne,
Im back again, I went back pages and pages in your thread, your girls are GORGEOUS!!!!! So is Ben! All in all its a home bursting with cuteness as far as I can see!!!

I just realised that Im back to loafing around other peoples threads cos I abandoned my pre-op diary one and never made a post op diary one - so I will have to spend more time checking in on KG as I saw some posts where you asked after me - so sweet of you!!

Well I better give you a proper update of my knee in that case:
Way better......90% of the time I forget there were any issues. All daytime type walking around is fine. No instability at all. Still need to continue work on strengthening as I lost a lot of function over 3 years and its taking time to get it all back. I still cant wear heels or dance - yet. I can walk around the house in heels but Im a little too wobbly to try outside in them just yet. I was making really obvious weekly progress from the op in May til around September, then september and october I felt like very little was changing and towards the end of october I was getting sore and achey a lot in the tendons behind my knee, and there was a lot of cracking and crunching going on and a feeling of pushing hard to get to the next stage but not quite getting there. Then I realised my gait was totally changing on my daily walks and one day in late October noticed I was walking like a 'normal' person, putting weight through bent leg when walking and not compensating and using my hip to push my leg forward. At the same time I noticed Id lost the 'dragging' feeling that Id had, when I first started walking my leg felt like it was dragging behind for the first half mile, when it warmed up it was ok, but it needed to warm up each time. Then I realised I was doing simple things like standing on the bad leg to take off the sock on the good leg - rather than sitting on the edge of the bed. Theres been a lot of small things like that that have suddenly fallen into place. And a lot of the cracking has settled down too. Plus the tendon soreness is not happening so much either.
I think I still have a long way to go. But Im definitely getting there. People who dont know me too well dont have a clue I have any knee issues. I can even do a little dash if I need to.
I havent had to ice or take pain relief in months now. I am going back to see physio in January to have a strength test done and just assess how Im doing.
I still do my exercises 3 times a day and I do a 3 mile walk every day too. Up to around 2 weeks ago the last bit of the walk was quite difficult, my leg was tired and a bit buckly, but its really improved again and now the end is the same as the start, and the whole walk is no big deal compared to what it once was. In July it took me 45 minutes to walk a mile. In November it takes me 50 minutes to walk 3 miles.

I really hope that you get the same kind of results with this op on Friday. You know yourself when things feel right and you are going to progress. I knew all through the 3 years that I needed surgical intervention, and the day of the surgery I 'knew' it felt different afterwards. I hope its the same for you - when its right you feel it. Even with weakness and buckling and pushing at physio - its all much easier when you start making proper progress.

I know Ill always have limitations, Ill never ski or run a marathon etc...But now that I can walk, sleep and move without subluxing life is totally different. Thats what I want for you!!!!
xxx
Title: Re: Patella stabilisation post op diary
Post by: fatcats6 on November 20, 2008, 01:01:51 AM
Hello Joanne,

I read your post and thought...we've all been there.  You want a miracle and find one day you wake up and it's all over and everything is normal and you don't have to worry about pain, PT, asking for help, all the things that come with surgery and recovery.  I think it's completely normal to be worried before surgery, sometimes you know what to expect, sometimes you don't.  I think it's better to stick with the scheduled op, rather than have your knee give up the ghost at a really inconvenient time and you are forced to deal with it.  At least you can plan alittle bit.  I keep telling myself that every day that passes is another day closer to getting better.  I try and ignore all the things pressing in on me, like working for money, being independant, driving, shopping, cleaning...today is what it is and I just make the most of it.

Everyone's posts make perfect sense to me, so go ahead and bite that bullet, sounds like you have a good support network and once it's done, you can look to the future and just tell yourself, that it'll be a bright one.

Good luck on Friday.
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on November 20, 2008, 12:28:15 PM
Tomorow is the big day Joanne.  I'm sure you're worrying even more but I'm sure you'll do fine.  Just think, after tomorrow you'll be back on the road to recovery.  That means forward progress instead of backward!!!  Can't wait to hear how well you do.

Sending you peace, hugs and wishes for a restful night's sleep tonight.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on November 20, 2008, 03:31:20 PM
tanya  :D I am so delighted to see you back on. I have missed you loads !!!!!!!!! Please come back more I miss you.

Fatcats thankyou so much for taking the time to read my knee novel  ;) and reply. I appreciate the well wishes and support especially today as I am freaking out abit.

Lenore you are always so thoughtful and supportive and I appreciate it do much.

Today I go from bring strong to being tearful. I am taking my phone in tomorrow so I will post once I wake up. Sorry I have not Bern on the last few days I have been really nervous this week.

Will pop on later and thanks everyone
Title: Re: Patella stabilisation post op diary
Post by: tanyap on November 20, 2008, 06:14:38 PM
Joanne,
Try to be calm, tomorrow it will all be behind you - its only a knee surgery eh??? (ah sure we've all had one, or two or three :))
I will be sending you loads of good vibes and thinking of you all day tomorrow!!
xx
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on November 20, 2008, 10:39:10 PM
Joanne....you are in my thoughts and prayers.....


DONNA
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on November 22, 2008, 10:06:15 AM
Joanne, I hope your surgery was perfectly successful and hope to hear from you soon!!  Sorry I wasn't here for you sooner!!!  I'm thinking about you!!!!!!!!!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on November 22, 2008, 08:06:58 PM
made it through surgery. They removed a fair amount of my tissue and tightened what I had left and anchored a lot of it. Don't know the full details as the pain after was immense. Been on morphine and have been sent home this evening with morphine for the me t few days. Thanks for all the support, will give better details when I am coping with pain better. Pt said weight bear if I can cope with pain but if it's too sore don't. As little walking or on feet as possible and categorically no bending. She said theatre notes said knee was unstable so they did a lot.

Love and hugs to all will get on soon
Title: Re: Patella stabilisation post op diary
Post by: fatcats6 on November 23, 2008, 12:46:20 AM
So glad that you've made it through the surgery.  Keep on top of your meds and make sure you don't get break through pain. Keep telling yourself that the big pain will lessen every day and just focus on getting through it.  That amazing body of yours will start heal.  Honestly, sometimes I am amazed that we all don't just drop dead from the shock of the pain but we don't and it does go away.  Keep us posted, you're in my thoughts.

Adrienne
Title: Re: Patella stabilisation post op diary
Post by: Tabitha on November 23, 2008, 02:15:33 AM
Glad you got the good stuff, morphine is great I have to  take it with some benedryl to help keep from itching but it's great. I hope that you stay comfortable.  Glad the surgery went well.

~Tabitha
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on November 23, 2008, 02:46:31 AM
Hi Joanne,

Glad you surgery is over now. I am amazed you have been sent home so quickly. Do hope the morphine helps with your pain and start feeling a bit better soon.

You are in my thoughts. Yesterday I was thinking of you a lot and wondering how you were doing. xxx
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on November 23, 2008, 03:36:21 AM
Joanne, I am so glad you are doing okay, but so sorry for the pain.  I hope the morphine helps you more than me!!!  I took some about an hour ago and am still in a ton of pain!  I think my body is starting to get used to it. 

I hope things get better for you :)  Keep us posted and hope to hear from you again soon. 

Farrah
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on November 23, 2008, 12:02:34 PM
YAY, Joanne is on the down side now.  OK, well maybe it's more like the rollercoaster side but either way that awful surgery is behind you and now you will be better!!!  So glad everything went well.  Hope the pain subsides and you can FWB in no time.  Meanwhile just chill (literally) and cuddle up with that adorable Ben. 

Thinking of you.  Hugs!
Title: Re: Patella stabilisation post op diary
Post by: tanyap on November 24, 2008, 02:52:50 PM
Well done girl - you made it through and out the other side - only rehab now ('only' sez me with a twinkle in my eye!!!).

Hope you are not in too much pain and are glad the surgery is behind you, and REALLY hope the knee is nice and stable now and does what its supposed to!!!
xxx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on November 25, 2008, 03:34:40 PM
Feelin ok thanks guys :) Well fine unless I stand up or move LOL but the pain management is ok. I am trying to cut down the tablets as they keep telling me to watch as they are addictive etc but taking what I need to to cope.

The surgery morning was fine....I thought well darn it (but in a much stronger format) I am not going to sit in there from 6.30am so I went in at 7.15 and they arrived at 7.40 to take me to theatre so we went through the paper work and pre surgery thing quickly LOL They have all my records anyway.

Anyhow the surgeon came through to see me and I knew all the theatre nurses and anesthetist etc due to my now many visits so we were all laughing which helped and the surgeon came through and they said what knee and I said its ok you cant miss it plus Mr M knows it inside out now and he came over and laughed. I said to him do I not get loyalty points or something and he said what like airmiles and I said yeay that would do so the atmosphere was jolly.

He had a look at my kneee and moved the kineecap around and said look at it, there is no restraint now, he said my girl you are just too bendy :)

ANyhow thats the last that I remember of him then. When I woke up it took like 2 seconds to realise I was in huge pain so they started drips and that was doing nothing and I got a few shots of morphine in the thing in your hand...that didnt help much and as the pain grew I started shaking and they got the anesthetist out who put a thing in my arm, my shoulder actually especially for morphine and they gave me 5 more shots through that and my arm and a drip of something else until they got on top of it. That left me flat as they kept calling it and torches in my eyes. I was doing the whole thing where they open your eye and it feels as if you can look at both corners of the room at once cause your eyes roll and you just cant control it.

Anyway, day went on, surgeon came in that evening and said he removed a lot of tissue and he anchored everything hugely and said there is no way it will move now...then said I think we will leave you to sleep it off.

That reminds me of a funny bit just before theatre. They said to him Joanne is down for staying in day care then ward is that correct and he said well Joanne usually ends up on ward faster than that with anaesthetics so lets just go for ward and they she looked at him and the staff all said its ok Joanne is a Mr M regular now :)

Anyway in a big bandage and had it removed yesterday still a fair bit of bleeding that is seeping through the second skin thing they put on and the brace that means you wont bend your leg from shin to thigh. When I move it hurts like hell and as of tomorrow I am myself with my 4 year old in theafternoons so tomorrow may be a sore day.

Just wanted to say thanks for all the messages and support - it makes a world of difference.

You will be glad to knwo this time when they put the heart monitors on we were joking about so much that although my heart went faster it was nowhere near as bad as times before. The whole oh MY  ;) ;) ;) factor must be wearing off or else I am getting used to it...LOL

For those who have followed this LONG story they will appreciate that bit as it goes way back to earlier ops and for those who saw the pics of my OS.

ANyhow thanks all  :-*
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on November 25, 2008, 04:11:14 PM
Joanne, I am glad the environment was cheerful for you!  Sorry you woke up in so much pain.  Did you end up staying in the hospital overnight?  I have forgotten.  What are you taking for pain right now?  I hope it's helping.  Your spirits seem to be high right now and I hope they stay that way.  Your knee is finally stable and you just have to get through your recovery :)  You can do it!  I will come over and help with your 4yr old.  Haha! 

Take care!!!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on November 25, 2008, 05:27:52 PM
Hope the pain subsides some so you can get off the addictive type stuff.  Sounds like everything went well and you are handling it wonderfully. 

Pictures of OS and your heart beating faster?   Hmmmmm....that must have been before I jumped on here recently.  Now you've got me wondering. 
Title: Re: Patella stabilisation post op diary
Post by: fatcats6 on November 25, 2008, 06:38:04 PM
Hello Joanne,
I'm so glad to hear you're through the operation and that the surgeon is pleased with the outcome.  Just wish you could have surgery and have no pain.  Scary thing to be on your own with your little one but at least you have 2 little legs that can take themselves off to the toilet.
Hope you can stay on top of the pain and it gets easier and easier as each hour and day goes by.  I'm sure just having that horrible anxious feeling gone makes you feel so much better. 
Adrienne 

Title: Re: Patella stabilisation post op diary
Post by: Tabitha on November 26, 2008, 03:27:53 PM
Joanne,
      I am so sorry I didn't post yesterday! I hope that you are doing all right!

I am glad that the surgery went well, I hope this fixes everything. I also hope that pain subsides so you can focus on healing.
I was wondering how you were doing so it was nice to hear from you and know that you are back in action.

Hopefully today will be a better day.

~Tabitha
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on November 27, 2008, 01:43:24 AM
Hey Joanne,

I'm so glad to hear your surgery went well.  Of course it sucks that you're in so much pain (I cannot even imagine since I never had pain so severe that I needed anything stronger than Oxycodone (or something like that). I'm glad you have morphine and your pain is becoming more manageable.  How are you doing today? I see your last post was from yesterday.  I hope it went okay today being by yourself with the little one all afternoon.

I'll continue to check in (even if I am not always able to post).  thinking of you :D
xoxo (http://dl7.glitter-graphics.net/pub/865/865387j5kbdyehac.gif) (http://www.glitter-graphics.com)
~Nevella :D
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on November 27, 2008, 02:11:06 AM
Sorry, I'm addicted to glitter graphics and found a perfect one just for you!
(http://dl8.glitter-graphics.net/pub/1549/1549678oscn72rk7d.gif) (http://www.glitter-graphics.com)(http://dl5.glitter-graphics.net/pub/443/443055nqwz1cd0mk.gif) (http://www.glitter-graphics.com)
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on December 01, 2008, 02:54:12 PM
awww thanks guys  :-* love the graphics.

Got my dressings taken off today, well the rest of them and it looks great. It was very swollen and they had to aspirate a lot of blood out of the joint but my scar is so much smaller. My previous scar had all stretched out and was raised and horrible and with all the swelling had stretched out and become an awful looking thing so all that is gone and I have a nice neat wee scar so I guess that is progress too :)


I start physio this wed so that will be telling and have been fitted for a new brace for my leg.

how are you all doing ???


Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on December 01, 2008, 04:36:03 PM
Hi Joanne....Just checking in to see how you are doing. Glad your incision  looks so good this time. Probably feels good to get that cleaned up and get some of that fluid out of there.  I hope you are behaving and not trying to do things you shouldnt. I know how hard that can be. But just wanted to say hello and let you know I am thinking about you.

Donna
Title: Re: Patella stabilisation post op diary
Post by: Tabitha on December 01, 2008, 08:05:29 PM
Hi Joanne,
          That's great that they minimized your scar! I hope it dissapears completely, wouldn't that be nice. Hope physio goes well on Wednesday, it seems early?? Do you know what they are going to start you off doing? Just curious.
Hope you aren't having as much pain as you were! Stay well!!

~Tabitha
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on December 01, 2008, 09:16:12 PM
Hey Joanne!

Great to hear from you.  That's awesome that your scar is much smaller! I've never had to have blood aspirated from my knee.  Did it hurt at all or was it completely numbed beforehand??

Good luck with physio. I don't think it's early.  Often OS's want patients to start physio like the day after surgery.  I'm sure you're in great hands so it's all uphill from here (the scariest part---the surgery itself--is behind you :D)

Take it easy, and don't be afraid to ask for help. I think all of us can attest to trying to be tough and not wanting to ask for help, at one time or another during our knee injuries :-\

xoxo
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on December 03, 2008, 02:59:28 AM
Hi Joanne,

Thanks for posting on my diary and your encouragement. It really helps me.

Good to hear that your scar is only small and have had the dressings removed. I hope physio goes ok and is not too painful.

Hope Ben is behaving himself. Rusty has taken a liking to my socks, especially when I go to hang them on the line.
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on December 18, 2008, 08:04:49 AM
Hey Joanne...how have you been???  I hope you are doing well!  E-mail me an update in case my KG doesn't work again!  Miss you!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on December 22, 2008, 03:50:55 PM
Hey guys

Sorry been awol and not got round to seeing any of your threads. There is a terrible flu going round here, hubbie had it, then me and then kids so its been a nightmare few weeks. I am doing ok, knee still swollen but I just feel quite down....I think I kept goin all this time nd now I just feel flat so trying to pull it altogether now.

Anyhow will catch up soon but want to wish you all such a happy christmas !

Take care and hope santa is good to you all :-*
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on December 22, 2008, 04:56:38 PM
Sorry you've been sick and feeling down Joanne.  We missed you.  Hope you don't have it all through Christmas.  Enjoy and try to get better.  Come back soon and Merry Christmas to you too!
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on December 23, 2008, 02:50:52 AM
Sending you an early Christmas present......a great big hug to make you feel better!!! ;D Hope it helps!

hugs...and Merry Christmas, Joanne!!
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on December 23, 2008, 09:36:51 AM
Hi Joanne,

Sorry you have been sick and feeling down. Just wanted to wish you a very merry Christmas and happy new year. I am sending you positive vibes that 2009 is going to be a great year. :)

Had a mishap with my knee and something is horribly wrong with it. Feels so unstable right now.

How is Ben doing ? Rusty has been so funny lately. He keeps taking his blankets out of his kennel. I got an email from the breeder and said his Mum often does that. He is such a wonderful watch dog. Doesn't like lawn mowers, which is interesting. Don't think he likes the noise.

Have an awesome Christmas. Thinking of you heaps and hope you feel better soon. :)
Title: Re: Patella stabilisation post op diary
Post by: tanyap on December 24, 2008, 10:43:01 AM
Hi Joanne,
You know its funny, I think of you so often when I drink tea from my Have a good knee day' mug :), yet I havent been on KG in ages!!! But I do send you good mental vibes!!!

How is the knee doing? Sorry to hear about the flu etc... Hope youre all over that now. Its normal to be down after all youve been through with the knee and trying to keep everything going etc... its been an extremely rough year for you.

I hope you have a lovely christmas and a great 2009. How is Ben doing now?

My own knee is ok, nothing major to report, am on a bit of a plateau, no changes in a few weeks, walking speed improves monthly, but definitely still weak in certain places.
xx
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on December 27, 2008, 02:29:57 PM
Hi Joanne!  So sorry to hear about the flu stuff going around there!  I hope by now you are feeling better in all ways possible!  I hope your knee recovery is going okay since your last surgery.  You have definitely been through a lot this year.  Hopefully we all have a better and healthier 2009!  :)   Sorry I haven't been on here in a while.  Since having some computer issues, I just never had much time or motivation to get on the computer.  My knee tends to start hurting a lot when I sit at the computer for a while. 

I hope Ben is doing well!!  How is that house training and biting coming along?  I went to the pet shop last week just for fun and pet an 8wk old Pug.  She was soooo cute!!  She was the runt of the family and just a baby.  I wish I could have taken her home, but I couldn't imagine puppy training right now! 

I hope your weekend goes okay.  I hope you had a great Christmas!!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: kathat on December 28, 2008, 10:14:30 AM
Hi Joanne,

Sorry for not keeping in touch. I have been trying to get away from the "knee" focus for a bit, though it hasn't really worked all that well  :P I will try to make an effort to stick my nose into here a little more often than I have.

I hope you had a great Christmas with your family and I wish you all the best for 2009.

All the best,

Kathy
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on February 19, 2009, 05:26:11 PM
Thanks ll so much for your kind wishes and thoughts.


Lets see.....

I had flu in all 4times between Dec and January. I was just run down I think. My leg was hugely swollen and I am not kidding the whole PT team at the hospital came to view it and try and get the swelling and inflammation down. It has taken easily 7 weeks for my whole leg to go down and now its just my knee.

The bad news is I still click laterally and grind...they say that is due to the complete atrophy of the VMO now.....which will be true but the constant imbalance in my muscles causes such a pull that I feel my patella being able to drift more and more laterally so fear this imbalance will undo the surgeon's work.

My PT team are at a loss and now think they need to work on my glutes and abductors (sp) muscles to help control of the leg although I have had varying opinions on whether this will actually aid the knee in time and told me just to forget my quad exercises just now as any contraction now causes an audible click and grind in the knee.

I wish to see the OS again as I am in doubt because of the questionable biomechanics of my knee - lifelong, not just recently whether this will hold and whilst I will continue to work on PT I simply cant bear the constant grinding and due to my shallow trochlea the PT says any imbalance makes it easy for lateral glide.

So all in all the surgery was good - in that my patella now stays on the front of my leg....but it does now drift considerably laterally...possibly due to extreme swelling stretching it and now that my lateral quads are firing well the constant lateral pull is again doing the dirty and causing all sorts of bother and pulling it over. They cant quite get to grips with my knee as it has defied all the odds so far and does not follow normal protcol in any way. Safe to say it has become a case study....and causing them all sorts of headaches.

I do need my VMO back but there is suggestion that I need mechanical help with the tracking (what surgery that would be I dont know)  in order for the VMO to be able to create a balance as right now it is so overwhelmingly outpowered that my VMO just cant keep up. They said before my lateral quads are exceptionally strong and last Sep considered furthering my LR to aid the balanace and allow the VMO to work and try as despite 2 years of VMO work we just seem to get nowhere as the knee inflames and then we lose it again. This is repeatedly due to the lateral tracking.. However in the period between seeing my OS last Sep  and surgery in the Nov my patella loosened further and they decided that repeating the stabilisation with more anchors in November would do the job.

However here we are !!!! I have not seen my OS since Nov and keep saying to my PT I have had enough...I have tried PT for 2 years now working on the VMO and we have got nowhere and they prefer always the least invasive route and working with soft tissues -  but I am now fed up and have told the PT another 2 weeks and if no further I wish to see the OS. My OS is great but getting to see him requires referral and I feel my lateral tracking is again rearing its head and progressivley getting worse and am scared its pulling the patella more and more and loosening the work done in Nov.

I hope all this makes sense, I am open to hear your thoughts.

Sorry for not being about....will fill you in on all the other stuff going on another time.
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on February 19, 2009, 10:00:36 PM
Hi Joanne,

Sorry to hear that you're still struggling.

I reckon you should go back to your OS now. PT obviously isn't helping that much. Telling you to stop your quad exercises is not really the answer. There should be some you could do that don't aggravate your knee. In any knee rehab glute, hamstring and calf strength is so important. Have they not had you doing this until now ?

If you have a shallow groove you may benefit from a trochleoplasty, which is what I had. My patella would come out both laterally and medially. Now that I've had the operation it doesn't come out at all. Am so happy about that. Has made a big difference to my quality of life.
Title: Re: Patella stabilisation post op diary
Post by: kathat on February 20, 2009, 04:53:09 AM
Hi Joanne,

Sorry things aren't looking better for you. How frustrating!! I don't blame you for wanting to see your OS ASAP if things don't pick up. I would want to as well. You deserve somebody to help you fight for a better quality of life. Continuous PT is just the pits, and there is only so much PT a person can take before it becomes too much to bear. I am so happy to not be on the PT round-about any longer. I think I needed the time away from PT to get myself mentally more "in tune" with myself (make sense?). I had done 18 months of PT and I was sick of the worry about how much improvement I'd see each visit, and what to do when my knees hurt too much to do an exercise, and would he be able to tell if I'd "slacked off" in a particular week! So much mental stress!! Not to mention the cost and the driving there and back. Now I do my exercises when I want, and add things if I feel up to it, I rest when I think I need to and I don't have to try and guess what my PT would want me to do in any particular situation. The knees are going okay (not worse, not better) but my life is so much more relaxed without all the PT appointments.

I hope you manage to get some answers soon. I understand the difficulty of having to strengthen a particular muscle group when it doesn't want to oblige! My quads were like that, and still are to some degree. I will have to continue with patellar mobilisations until I get enough strength in the right places to hold my kneecaps in the right spot, as my lateral retinaculum continues to tighten back up over time with nothing to counteract it. If I don't do the mobs then I'll be back where I was at the beginning of all of this! So it's lots of massage and mobs for me for a long time yet.

Good luck with it all, and know I'm thinking of you.

Kathy xx
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on February 20, 2009, 09:27:47 AM
Joanne, sorry it's been so long for me to post here.  I am so sorry for all that you are going through with your knee!  I was hoping to read that things are getting better :( When do you see your OS again?  I hope it's soon so you can get frustrations resolved!  You have been through so much over the last year and deserve to be done and in less or no pain!  Keep pushing for a solution!  You can do it!  :)  I"m thinking about you!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: tanyap on February 20, 2009, 11:46:23 AM
Hi Joanne,
Im so sorry to hear that your knee is still misbehaving.

I think that you should go back to your OS, dont bother waiting for the 2 weeks, just go back now and see what he says.
PT over and over and over with little or no results is just horrible. Thats how I was before my op, I could never manage to make any improvement til the underlying problem had been addressed.

Sounds like your own body is fighting against your surgeries - damn body!!!!

Your head must just be done in with it all at this stage, I was sickened when I read your post that you werent having more improvements.

Maybe its the time of year for it eh? Kirsty had a set back recently, Im having one right now, and yours is still misbehaving - the road of good knees does not run smooth and thats for sure.

I hope youre feeling ok mentally, youve been having an awful time of it what with flu and knee probs.
Am thinking of you - dont be afraid to email if you want to get anything off your chest.
xxx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on February 20, 2009, 12:28:52 PM
I think I have just hit the wall really. Mentally I am fed up, physically I am fed up. Mt PT is on at me to build my glutes and lwer part of my core.
However I used to dance and whilst much has gone I dont think my core is the issue. My PT sessions makes me feel dejected a bit. Now I know i am slim I weight 9stone what about 126lbs and am 5ft 7 so I know you would think I should be ok with my weight. However I have had 2 babies and my stomach is not flat any more and wobbles and I have bits at my hips. S my PT thinks its a good idea (for any woman is this good....????) to roll down my joggy trousers at the waist a few inches so you can see the top of my pelvis and rolls my t-shirt up and tucks it into my bra so you can see most of my torso. He pulls over a full length mirror and says see  - look how your pelvis is squint you compensate and thus aren't working your glutes. SO tighten the glutes pull in your tummy muscles and pull up on your pelvic floor to tighten the lower core ...all this. He says your glutes are too weak, your core etc etc etc. You know what I felt totally cr*p about myself. I know I am not huge and maybe thought this was ok to do in an open physio room full of bikes and other people just made me feel like I wanted to crawl out the nearest window as all I could hear was all that was wrong, how I hitch my pelvis, my core is too soft, my glutes in my bum are terrible that side as I dont use them in the way I am now walking. I am only doing all these things to cope with the knee now...I did not start this way and its a vicious circle now.
My knee grinds and I cant see how this core work can rectify the situation as much as is required. It will help with me not hitching the hip up to aid the knee but it I am perplexed at how this is going to pull my kneecap medially enough. I cant stand this click and grind...you can hear it now, when its quiet I can freak everyone out by simply contracting my quads or straightening my leg.

MY PT even said to me we are doing all this and he really doesn't know if it will work and help my knee, but its worth a try he says. AAARRRGH !!!!! He says if I can just stick with the programme....at which point I want to self combust and say which part of 2 years have I not stuck with the programme. I have been here before...he says but we didn;t do all this glutes work before and maybe this time we can make progress if we stick with it.

Seriously...is this me ???  Am I now going off my head for no reason ? I just want some answers and possible solutions as I am at the point I either want an option or else could easily just walk away from all this PT now.

Anyway between that and stuff in RL I am simply fed up. I just want referred but if I ask for a referral prior to my PT thinking its time I know I will get sent back to finish PT.



Anyhow I so appreciate your care and concern and will get back into checking on you all.
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on February 21, 2009, 03:23:09 AM
Joanne, I'm so glad to see you back on here but I'm so sorry to hear how much you are struggling.  When I was reading your bit about PT it reminded me so much of what I go through there sometimes.  I haven't had anything quite as bad as pulling up my shirt for the world to see (GEEZ!!!) but I get lots of lectures about my poor posture and how I need to do all these strengthening exercises to help my knee.  Then I look at what my OS wrote in his op notes and it says I have a slim build and good muscle tone and I want to shove that in PT's face.  My legs aren't rock hard and yes my quad muscle isn't as strong as it could be but geez, what do they want?  See, now you've got me going on your thread.  Ha! Ha! 

I got the exact same comment too about "gee we really don't know what we are doing but we're hoping it will work".  Isn't it so frustrating?  They use us as guinea pigs and we let them because we keep hoping something will really work. 

I hope you can find some answers soon Joanne.  It's so hard to stay positive when you are hurting and getting nowhere.  Don't give up.  Just keep fighting and keep looking for a solution.  You will get there.
Title: Re: Patella stabilisation post op diary
Post by: kathat on February 21, 2009, 08:06:38 AM
Grrrrrr...I'd love to whack your PT across the knees with a baseball bat and then tell him to stand up straight and watch his posture!! What a load of crud!! And to point your posture out to you in a room full of people is just purely unprofessional. It sounds like he is clutching at straws to me. Posture certainly can cause issues, but generally back and shoulder is what's affected. I wouldn't expect posture to dramatically improve your knee pain.

Could you change PTs? Then you could still do the "required" amount of PT but not with your current PT. I hope the time flies so you can see your OS.

Good luck, and hang in there.

Kathy
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on February 21, 2009, 11:24:47 AM
Hi Joanne,

I really feel for what you are going through right now. Must say I've lost a lot of faith in physios, some of them are a complete waste of time. My OS is happy for my sports physician to monitor my rehab and advise on it. My knee physio just gave up on him. Next time I bump into him at the clinic I feel like saying, "Thanks for giving up on me". Can't wait to see what my knee surgeon when I see him next and talk to him about my knee physio that has given up on me. My shoulder physio is making sure I do my exercises right that my sports physician gives me.

Have you thought about seeing a sports medicine doctor ? I reckon they could really help you rather than seeing a physio. What part of Scotland are you in ?

Before my last surgery I felt I wasn't getting anywhere. With patella problems they seem to do the least invasive before trying more invasive surgery. The operation I had was very big and taken a long time to recover from, but has made a massive difference to my quality of life.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on February 21, 2009, 05:29:06 PM
Thanks so much for your replies  :-*

I guess I am just frightened that I see my OS and he says once you get your VMO back it will pull medially on the patella and all will be fine. There surely has to be a reason why my VMO hasn't come back so far. I personally believe that repeating the stabilisation was maybe the wrong path (when they suspected my ligaments are very flexible and had already stretched out - although to be fair they wondered whether this was the infection I had) why they did not use  a hamstring tendon graft to avoid this I am not sure. They went in open minded and decided just to repeat what had been previously done and now I feel this deja vu. Again I have to say no my VMO is in a coma I guess......but 2 years of PT hsn;t moved it at all...my knee inflames and is sore and I get nowhere.

Please can someone tell me when do they do a TTT....is this suitable for me ? I feel I need to bring options to the table now for discussion as up to now I have been deferring to the PT and OS and now I know my knee better than anyone else (I know that sounds daft but you have all educated me enough to know what I am experiencing) ....ok I dont have the medical background, but I know this isn;t right and cant see how all the PT in the world is going to bring me back if it has not done so in 2 years.

Sorry rant over.....now you can see why I went awol as I just feel frustrated, confused and want direction. Many will say your op was only 4 month ago but I am regressing to where I was last August when they decided more steps were required....if not worse as the pain is worse, the grinding when I straighten my leg and the big lateral jump of the patella is worse. My patella is not perhaps as loose but I can certainly push it over laterally and get my fingertip and more under resting under it. Its like pushing a plate half off a table and feeling underneath.

Anyway, any possible options worth asking about I am open to. My OS will hapily discuss them with me but he tends not to talk long term and least invasive option always first. I am seriously now at the point give me what we end up at, the one you know is where we might end up as at 5 surgeries I am tired and cannot bear the thought of this being it for ever. At least if I thought my patella would be retsrained more to allow the VMO to seriously do some pulling I would have hope.

I'm rambling..stopping now ! But thank for listening.
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on February 21, 2009, 06:07:04 PM
I do understand why you went AWOL Joanne.  Sometimes you just need to get away and think things over without getting feedback from anyone. 

I wish I could think of something that would help you but I'm not that familiar with TTT's or the problems you are having.  I agree though, doing PT for 2 years and getting nowhere is crazy. 

Rant away.  It does help.  We're listening.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on February 21, 2009, 06:15:47 PM
Lenore - you have your own worries and to be here for me at this time...well its just typical of the kind hearted woman that you are and we know and love  :-* :-* :-* :-*

It is appreciated.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on February 23, 2009, 07:06:02 PM
well  I moved my PT forward t this Friday in the hope my PT will agree to refer me again to the OS or hve some answers / ideas.

Nothing else new today really. Hope you are all well.
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on February 23, 2009, 10:17:42 PM
Hi Joanne,

You deserve to get some answers. Just crazy you are having to wait so long. The PT's don't seem to know what they are really doing.

I think you need to see your OS ASAP. Can your GP refer you to your OS ?

If you've got swallow trochlear grooves you may want to speak to him about a trochleoplasty, particularly if you have problems on the lateral and medial sides. It will probably stop the knee from sliding around. Only your OS will be able to advise whether you are suitable for a TTT. Has a MPFL reconstruction every been discussed with you ? That may be another option, but again would need to discuss with your OS. It does concern me that they don't seem to really know. Any chance you could get a second opinion ?

Good luck with PT on Friday. Let us know how it goes. :)
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on February 23, 2009, 11:53:20 PM
Hey girlie,

I've got to catch up on your journal. You've started to stop by the Lenella thread a lot, and i want to catch up on what i've missed with you.  I'll for sure read up on what's going on with you this week, k? I have to go do a couple of things, but will be sure to post more often on here. Love ya!! :D
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on February 24, 2009, 08:50:03 AM
Hey Nevella how are you doing ? Good to see you  :-*
Kirsty I think if I can get to my os he will let me know his thoughts. It's getting pt to refer me. I need a referral and it helps hugely if my pt says he believes it's time for a referral too.

I am praying on Friday he will say let's refer you as icould see the os as early as next week if he did.

Fingers crossed
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on February 24, 2009, 09:34:39 AM
Hi Joanne,

I hope your PT refers you back to your OS. You need some answers. Can you ring your OS rooms and let them know you are really struggling ?

Fortunately or unfortunately, I have an indefinite referral from my sports physician. This means until they sort out my patella problems I can continue seeing him without a referral.

Today I saw my sports physician. Updated on my diary. Can start pilates and do more in the gym, but just slowly.
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on February 24, 2009, 11:00:56 AM
Hope you get the referral Joanne.  It sure sounds to me like you need it.  I'm looking forward to reading about your progress and no more of this waiting and wondering crap.  You deserve to get healthy again!
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on February 26, 2009, 10:04:12 AM
Joanne,

Good luck at PT tomorrow. I hope you get that referral.

Let us know how you get on. Thinking of you. :)

By the way, how's Ben doing ?
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on February 26, 2009, 05:39:04 PM
Thanks so much guys  :-*

I am ok today but I vary during the day. One hour I think the knee isn't so bad, then I am on my feet or driving and have the knee bent for a while and I think I cant stand this...along with if I contract the quads the grind I feel. I take tramadol and I just cant use them anymore, last night they made me restless, didnt take the pain away and I was lying awake at 5am and had tried to sleep from 8.30 the night before.

I feel so nervous about tomorrow....no idea why I shouldn;t. Its only PT but I so want him to say lets refer you and have his support in this. I dont know if he will though :-\

Ben from being a little ang;e is now 6 monthd old and full of mischief....and I mean FULL of it. Seemed to happen overnight...angel puppy / into everything dog. But we love him. I must get some pics for you
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on February 26, 2009, 10:50:54 PM
I know exactly what you mean about the knee varies during the day Joanne.  I feel like one minute I'm limping and the next I'm walking fine.  These knees are bizarre. 

Don't be nervous about tomorrow.  They shouldn't have any problem referring you.  What do they have to lose?

Ben is 6 months old already?  Wow, where did that 6 months go?  He's so darn cute.  Pics, yes we need more pics!
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on February 27, 2009, 12:45:32 AM
Hi Joanne,

Know exactly what you mean about your knee varying so much. Yesterday mine were in agony but today aren't too bad. Maybe it's because I am doing more exercise, don't really know.

You will be fine. Just emphasize that you need a referral and can't go on anymore like this. It's just crazy.

Amazing Ben is 6 months old now. Rusty is 9 months old now. He's such a character. Rusty is full of beans too, but I love him to bits. Everyone melts when they see him.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on February 27, 2009, 03:32:13 PM
Well my PT  office called to say my reg PT had been first on scene at a terrible accident this morning and was basically keeping a girl alive until medics arrived. Anyway he was shaken by everything and took the rest of the day off. So they said I could either cancel and wait a week to see him or else see someone else. I said I would see someone else as I didn;t want to put this off a week.

The girl whom I saw said WOW you have a lot of notes to read through, erm help me out here what is the history. So I told her, she said she didn;t specialise in knee surgery and didn;t know enough about what my options were and that if I wanted to go see Mr Mckay then she would leave a note for my reg PT to write the referral when he returned next wed.

So I got an apt for 9th March and I hope when my PT returns he will back the referral :)

Its a shame for him and I hope the girl will be ok.


 so I just have to wait the 10 days now to see him :)
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on February 27, 2009, 05:53:25 PM
Oh how awful. Hope the girl is OK. 

I'm glad your replacement PT said she would leave a note for your regular PT.  Sounds like you will get the referral you need. 

More waiting.  Seems like all we do is wait sometimes, doesn't it? 
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on February 27, 2009, 06:42:27 PM
Hi Joanne,

That's awful about the girl. Hope she'll be ok.

Glad you have an appointment with your OS. Just over a week, right ? At least you don't have to wait too long. Sometimes it can take 6 weeks or more to get in to see my OS.

Fingers crossed your PT will do the referral no problem.

Could have killed Rusty this morning. He started barking at possums at 5am ! Rusty is now in the kitchen where he can do little harm.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on February 27, 2009, 10:04:48 PM
Fingers crossed...of course I have no started worrying he says live with it or stick with PT. I never ever thought I would wish surgery but now I do...well I wish a solution. They tried the least invasive option and it is not working, i am just praying for him to have some solutions.

ANyhow, 10 days and counting. I have never been this nervous about an apt before...but I think its because how much I want it this time. (Not that I didnt before, but I know you guys will get it)

ANyhow hope you all have a great weekend.
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on February 28, 2009, 01:38:48 AM
Hey there,

Wow, that sounds very traumatizing what your PT went through earlier today. I get shaken up when a kid has a bad accident at work. I couldn't imagine helping someone who is clinging to life.....

yes, 10 day may seem like a long time (after you were counting down to today), but you're going to get the referral and get some results :D I am not sure when I'll have the time this weekend to read all that i've missed in your journal (and one other person's). i have to do tons of marking and finish report cards by monday  :-\ but just know i think about you and i do read your latest posts, but i still have to read back a few pages.

i love u lots! :D
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on February 28, 2009, 11:34:07 AM
Wishing for surgery?  Funny, I've never seen anyone put that in writing before but I can relate.  The last thing you want is for someone to say "you need to keep strengthening" when you are already strong and have tried everything else. 

I'm praying they will have a solution for you too Joanne.  It's time to make you better once and for all.

Have a great weekend.
Title: Re: Patella stabilisation post op diary
Post by: kathat on March 02, 2009, 12:51:44 PM
Hi Joanne,

I will keep my fingers crossed for you that your PT will back the referral. Then you just need to wait for the appointment. At least you had the foresight to make an appointment at the time, instead of waiting for your PT. Makes the whole thing happen quicker, and goodness knows, you need things to move quickly for once ;)

You'll have to post some more pics of Ben. They grow and change so fast, don't they?! Our kitten is 7 weeks old now, and we should be able to visit him soon. I have to start getting things ready for him to come home, as that will happen before we know it ;D He's apparently become really fluffy in the last week, and we can see his markings darken with each photo we are sent. He's still nameless though ::) I have come up with Harley, Casey and Shadow, and hubby likes Baxter :P and Isaac. The kids seem to split up and one of them likes a suggestion and the other doesn't! I despair of ever getting the poor kitten named!! So far Casey and Casper seem to be the most promising, with three of us liking them and one not.

Your poor PT, having to deal with an accident like that. It's really hard to wind down after something like that. I treated an unconscious woman at a car accident scene, and it played on my mind for ages. Thankfully one of our doctors at work knew someone at the hospital the woman was sent to and found out how she was. It made a big difference and gave me some closure to it all. I hope your PT gets the same opportunity.

Good luck for your appointment. I hope you get some results after all your waiting.

Take care,

Kathy xx
Title: Re: Patella stabilisation post op diary
Post by: tanyap on March 02, 2009, 01:07:56 PM
Hi Joanne,
There is no need to be nervous - you will definitely get the referral. I feel for you that your bloody knee is still playing up though - I am seeing my physio today for the first time since september, so i am nervous too  - for no reason!!!
xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 02, 2009, 04:48:01 PM
awww tanya, good luck. I hope its your knee just having a wee moment and that it passes without any issues for you.

Still waiting on my PT to return on Wed, if he has any issues I guess he will ring me.

How are you all ?
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on March 02, 2009, 06:44:24 PM
Joanne,

Hope you get the referral no problem.

It's only natural to feel nervous and thinking your OS will say to live with it or keep doing PT. He really has to do something. If not, I think you need to get another opinion. You can't keep living like this.

Thinking of you. xx
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on March 02, 2009, 10:45:29 PM
Hi Joanne! Only 2 more days until you get that referral! And you WILL get it! :)

Love ya!
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 03, 2009, 03:13:21 PM
You are all awesome :)

Had a down weekend, just felt a bit low and knee was gnawing pain rather than out and out screaming but sometimes I find that worse.

Anyhow my Hubbie is taking tomorrow off (a special day) to take me out for lunch so that's nice.

Hope you are all good. Not managed to get on everyones thread but kids had swim club after school yesterday and 2 hours of dancing tonight and trying to juggle work during the day.

Promise to catch up on all your news.


Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on March 03, 2009, 03:24:09 PM
Good to hear you're doing a special day with hubby tomorrow.  That gnawing pain will wear you down. 

Tomorrow is the day you get a referral and get answers.  Can't wait to hear good news Joanne.
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on March 04, 2009, 10:37:04 AM
Hi Joanne,

Checking in to say hello and see how you are doing.

Sorry to hear about your pain. Mine seems to be improving with more exercise. Yah !!

Have a good day with your hubby. Sounds like what you need.

Not long till your appointment now.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 04, 2009, 07:23:32 PM
Thanks I had a lovely day - only on for a few minutes. My kids arrived at my bed this morning with their wee drawings and cards and me and my husband went out into town and had a lovely day. We collected the kids from school took them to swimming lessons and got some tea so I had a lovely day. It was my birthday and I never heard from the PT so I assume thats a good thing and he wrote the referral so hopefully thats the best present.

Promise to catch up on all your threads over the next day or so.

Hubbie has got a dvd for tonight so off for a glass of wine and and a movie :)
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on March 04, 2009, 07:30:39 PM
HAPPY BIRTHDAY TO YOU, HAPPY BIRTHDAY TO YOU!  How did we miss that?  Glad you had a good one. 

A referral will be a great present. 

Enjoy your wine and movie!
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on March 05, 2009, 10:21:46 PM
Hi Joanne,

Belated Happy Birthday !!! Glad you had a good day.

Not long to your OS appointment now. Fingers crossed for you that he can do something. xxx
Title: Re: Patella stabilisation post op diary
Post by: kathat on March 05, 2009, 11:50:20 PM
HAPPY BIRTHDAY JOANNE!! ((((((BIG HUG)))))) Glad you managed to do something special with your family.

Kathy xx
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on March 06, 2009, 01:49:10 AM
Hi there! Happy belated birthday! I'm the type of person who advertises my birthday a week or two in advance, lol! I make sure everyone knows it, ahaha!

I'm glad you had a great birthday. And you even had some nice romantic time with your husband. Awesome!

I just stopped by to say I love you!
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 06, 2009, 06:26:11 PM
 :-* :-* :-* :-* :-* :-*  Thanks so much

Thought I would get back on but hubbie and both kids have a sick bug so its been a bit manic

Back on when finished washing bed clothes :(
Title: Re: Patella stabilisation post op diary
Post by: tanyap on March 06, 2009, 10:18:24 PM
Happy Birthday Joanne!!!
So glad the family are making it so special for you!!!
xxx
Title: Re: Patella stabilisation post op diary
Post by: kathat on March 07, 2009, 01:35:54 PM
Oh dear, I hope you don't get the bug!! I had a gastro bug once, and couldn't even take the time to be sick, as my son got it shortly after and I had to clean up after him because hubby can't deal with vomit :P At least if you get it then the rest of the family will have already had it and you can be sick in peace, knowing they won't get sick too ;)

Take care,

Kathy xx
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 07, 2009, 01:50:05 PM
I'm in stealth mode :D   I give the kids kind of a quick hug or else a bear hug where they just rest their head on my shoulder. They are easier than hubbie.......you know what man flu is like, not a great patient LOL

Hope you are all ok. Going to try and catch up on your news now.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 09, 2009, 04:04:41 PM
Warning - this will be a moaning post!!!! Leave now if preferred LOL


Now I saw my os today and as you know needed my PT to refer me. I knew from the first 30secs it was not going to go well. I saw the os and said I am sorry but I am back and he said that's ok come for a chat. ( having seen him so many times now I knew when he said that that my pt had probably not given me the referral. He is not a come for a chat person)

So I sit down he pulls a chair beside me ( again not usual manner, I know this sounds daft but the whole apt felt very condescending ). Now he says I hear your pt has managed to get all the swelling under control. I said yes but now I am left with my patella being loose, catching, grinding and the knee giving way. He said there is NO way that patella can be loose, I belted and braced that patella , it can't be loose.

I said well it feels looser. So he said let me see. So no exam couch, just told me roll upyour trouser leg and sat there in his office chair and he pushes it and says well ok it is a bit looser but it will have an end point, it won't come right off.

I said maybe not like that but it moves, slips and grinds.

So the usual response if we could just get muscle control, you know I think you have regional pain syndrome. Have you any numbness ? Have I everscanned your back? Isaid noand seriously this is not myback, I do t have chronic pain, I don't have this syndrome  my knee is just loose.

He said well your vmo has wasted til we are down to bone that side. I said well it's not for lack of trying, 2 yearsatphysio. I said my knee keeps pulling laterally and grinds over and he said well yes your patella sits here and shows me the knee model and how my patella sits laterally on the bone. I said that muscle has never got the chance.

So he says I know I will send you to a neuro consultant for neuromuscular testing, it's just lime accupuncture. He decided my knee should be perfect after the surgery so it is obviously a muscle fault. I said well if it comes back clear ( and I will put money on itdoes) he said oh no it won't, it can't.

A pt told me last year with the strength of the lateral pull I have the vmo was never going to compensate and there was talk of redoing the lr. Obviously I am the only one who remembers this.

He never even felt my knee and the grind and I was with him for under 8 minutes. I left angry with myself as much as anything. I am too shy to push and didn't want to see
 cheeky and say are you not even goi g to view how bay this tracks and the grind I have.

I just feel like walking away from all this. I believe if I could just get my patella to sit in groove and have it there that maybe my vmo could pull against it. However I am a lay person and may be so wrong.

I want to give up, the bottom line is they just don't know and I can't bear anymore.

I feel if and when the test comes back my muscle functions - just very weak then they willsay it must be something I am doing. Having been in their care 2 years and having had this problem since surgery 1 first of all why do this now and not back then ? Second really it's not going to change this knee and what can they do that I have not done in the 2 years.

*sigh* they just don't know and are now doing guess work 

I am cross that I get the chat pain holds me back - I could bring in my gp / chiro / medical friends who can all vouch for the fact that with 2 youn g kids and my nature to not give up then I don't let pain hold me back.

However the constant telling my pt this is now getting to me and I don't think anyone is listening. None of this is new, I seem to have few options and an os who now wants to make this neurological when I know from everything here on kg that I don't have that.

So fed up so frustrated and so at a loss I just want to run away from it all. I think this is the first time in my life I have walked away from something and give up
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 09, 2009, 04:13:04 PM
Sorry for all typos was doing that on my phone waiting for kids after school. Just to clarify my pt and os are friends and work in same building so they chat on informal basis all the time
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on March 09, 2009, 07:52:44 PM
Don't give up,  Don't let them tell you they don't know what's wrong, and don't let them use you as a guinea pig!!!  OOOOOOH  I'm getting mad all over again at these darn OS's and PT's.  If only they could feel your pain and live your life right now.

I too have a hard time standing up to these OS's and have had very similar exams like you describe where they barely touch your knee, talk down to you, and push you out the door as fast as they can.  I've had 4 different OS's misdiagnose me for different issues and PT's that had no clue what to do with me. 

I don't remember your whole story and history Joanne but I really hope you can find someone that knows what is wrong with you and how to fix it.  Please don't give up.  Take a few days to mourn this OS visit and have a huge pity party because you certainly deserve it after that jerk. 

After a few days of that crap put your fighting hat back on and go get em!!!  It just takes finding the right person to treat you and one that will listen!  I'm cheering for you and hoping for something positive very soon.   
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 10, 2009, 01:30:07 PM
Thanks Lenore I was so upset last night that I started to remember things how some kind of muscle testing was done before. Not with the needles though, but he didn;t even remember. I am convinced that noone is actually reading my case history in all this. I cant believe I paid for an apt where he was asking me what he had done before. I like this OS very much, but I really felt that he took this very casually and didnt even have the courtesy of reading my notes before I came in. *sigh*

I have made another apt to see him with a list of things I want clarified. I will take hubbie and if he cant come I will take my brother as he is good in these situations.

Here is what I have written down that I want to reorganise and take with me so it does not sound inflammatory or accusatory - apologies for the obvious in it but I e-mailed this to my bro so he understands it all.

History
 
Knee pain since earliest childhood memories - pre-school
In adolescence they diagnosed chondromalasia patella (roughening of back of knee cap)   {although to be fair does not look rough from recent op pictures so not sure if that was ever correct]
Told to stop sports etc
No improvement - they wanted to operate then in an op that involves breaking some bone and reattaching it. We said No
 
Knee persisted to irritate but not be OTT until I started at the gym and dancing again, exercising 5 times a week.
 
 
 
RECENT YEARS
Went to the first OS (orthopaedic consultant) who said my knee cap was tilted to the outside and pulled that way and a lateral release cuts some of the retinaculum  on the lateral side which is the soft tissue over the knee cap running down either side of your knee. This is supposed to lessen the tilt and allow the knee cap to sit in its groove.
 
Huge inflammation afterwards and swelling for 3 months, on crutches for around 9 weeks...quads died.
 
AT around 12 weeks after surgery I went to see new OS  for a 2nd opinion. He injected steroids into the knee which didn;t help.
 
He said he would scope it , so Aug 2007 he scoped it but could see no damage. They gave me things for my shoes...tried them for months, nothing altered.
 
I carried on with swelling of the knee and around Oct 08   - physio did tests sticking electrodes on my leg to see if they could measure any muscle function. It was weak and fatigued easily...but it was there.
 
Then they decided to put me in a knee brace
 
I carried on painstakingly until around March 2008 when I said I had enough, PT referred me back to OS who said there was no stability in my patella and it would simply slide off. So op booked for May - patella stabilisation where on the medial side sutures and anchors are put in to tighten medial side and prevent sliding out to lateral side or subluxation they call it when the knee cap sits partially out of groove, fully out of groove is dislocation.
 
5 weeks after that back in hosp for a week with huge swelling leading to internal stith getting infected. Operated to clear out infection but was told after that op that "repair" as they call it (patella stabilisation op) looked fine.
 
August 2008 still swelling and whenever contracted my quads my patella would move laterally and click over bone. PT calls OS through with his assistant during one PT visit and they look and OS says the lateral pull is very strong and wonders if they should increase the LR to reduce the pull allowing the VMO muscle to try and kick in. Its just being completely overpowered he said. I was sent out an op date of around Sep 18th but I cancelled it.
 
In late Sep I went back to see OS saying my knee felt loose and he said it was, I must have stretchy tissues and that perhaps using a tendon graft from the hamstring would be better. Op booked for Nov. No mention of LR(lateral release).
 
Go in Nov and during theatre they re-do tightening but don't use tendon graft for whatever reason. He says to me during post op visit the infection could have stretched it all out.
 
Back in PT HUGE swelling again, eventually get swelling down and here we go lateral movement of patella and clicking over bone. Again PT says its cause I have no VMO  ( well I havent since op number 1 so this is NOT new). I said the grinding is increasing and I am worried. PT now decides its because I have a soft core and don't work my glutes or lock my leg straight through these years and need to try and strengthen those to help with gait. We do this and my knee seems to get worse with the grinding and clicking which seriously drives you mad. The pain is not always unbearable but at times is gnawing. At this point PT now tells me to walk with a slightly bent leg and not lock it straight so as to avoid the clicking - complete reversal of all we had been working towards in previous year
 
I said to pt I am concerned that last time the infection stretched things out and it could happen again. PT says no the infection didn't stretch things out, its maybe just your tissues are flexibile. SO I say well whats to stop this recurring again  ? Last time I was in this position you all suggested a LR to be extended ?
 
I am going round in circles. To which PT gives me his usual answer which I could now scream at, well pain can hold you back and I say ITS NOT THE PAIN !!!!! I have 2 kids I don't have the luxury of sitting with my feet up. I said I do my exercises what more do you want me to do.

SO last PT visit my usual pt  was off and I said to the girl I had that I felt I had been here before I wondered if it was time to speak to OS again. She said she would get my pt to refer me.
I don't think he did, no written letter etc, I think OS spoke informally to him due to the tone of our last apt and that the usual crap was said as PT himself says to me he has never met a knee like mine and is trying anything with no idea if it will work. (He did say that)
 
So see OS yesterday and felt the whole thing was condescending beginning with  -  lets have a chat.
 
He obviously has not read up on notes and asks me has he scanned my back, I forgot about the wee sticky pad testing they done on the computer over a year ago so feel this coming test is both a waste of time and money.
 
I wish some clarification:
 
One says you need the LR...then the LR suddenly disappears off the horizon because I cancelled it
One says infection stretched it out, the other says no that's not what happened
Constantly told by PT if I could work through the pain - to which I have said I appreciate you don't know me personally but if need be I will bring in 10 people with professional backgrounds who know me to give you a character reference. With young kids and running my own business being like this is not in my best interest.
I am also prepared to say if its you think I am not workinf hard enough tell me and I will take that on board, this is not time to worry about hurt feelings, this si time for straight talking. I will try harder but equally must say in2 years never once have I been told I am doing exercises incorrectly at any PT visit where I am supervised 85% of the time. I am happy for input here, but I want everyone to be fully knowledgable of my history as it seems much has been discussed informally and then forgetten when convenient.
 
 
Same situation now as has always been there, total muscle imbalance. Why was the LR mentioned , arranged and then never required ? Was it done as part of the last op and I don't realise it ?
IF they don't know what to do anymore or I have to just live with this, then tell me don't waste money and my time. I think having 5 surgeries in 2 years is enough for anyone to go through. Plsu the hours and hours of physio I have put myself through, steroid injections, knee aspirations
 
I am just a number to them but it appears that they forget so much of what has happened and that I need to go in and go through all these things and say you know what I am totally confused here. A lot seems contradictory and I really just want everyone singing off the same hymn sheet as I am concerned everyone is using guess work and noone is truly sitting down going through details and offering constructive suggestion. Both the OS and PT now seem very causual about things and especially yesterday as it was very obvious notes have not been shared.

Can you please give me your opinion. Now that I have put all this down in black and white for the first time I dont like what I am reading.

Please for good or bad do tell me.
 
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on March 10, 2009, 01:52:33 PM
5 surgeries in 2 years is more than anyone should have to go through Joanne.  Thanks for the history rundown.  Wow, talk about confusion.  I wouldn't even know where to start.  Sounds like they don't have a clue.  Are you seeing patellar experts or just your run of the mill local OS?  Maybe it's time to find the best patellar guy you can and get this straightenend out once and for all.  Have you been talking to other KG's with similar problems?  What treatment have they received and who do they recommend?  I don't think I would waste my time going back to the same people you've already seen.  Maybe it's time for a new set of eyes and ears.  You really need someone who cares and someone who understands the problems you are having.  Someone you don't have to coach along and someone that will give you a thorough exam and tell you what's wrong instead of you telling them. 

I haven't had anywhere near the amount of problems or surgeries you have but I will say driving 10 hrs to see Noyes was the best decision I ever could have made.  I finally got a proper exam, finally found someone who cares and will finally get the treatment I need.  I hope you can find someone like that too.  It shouldn't be this much of a battle to get proper treatment but unfortunately it is. 

I really feel for you Joanne and I hope you don't give up yet. 
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 10, 2009, 02:24:22 PM
Here is the really sad part Lenore - he is meant to be the best and highly recommended. He is a knee specialist and sports surgeon for knee injuries etc.

I have not heard of anyone else better than him and I am scared tomove as here - well the system here is not as customer orinetated as in the US. If you keep moving around for opinions you are seen as a problem patient......even if you go private.

I feel totally dejected.

Thanks for listening to me moan, I do appreciate it and to everyone elses thread forgive me for not replying to your posts. I am just in a bad place today but hopefully I will feel better tomorrow.
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on March 10, 2009, 02:37:52 PM
Oh boy, that really complicates things.  Wow, I don't even know what to say.  I can certainly see why you feel dejected.  Feel free to moan any time.  I just left a pretty good moan of my own on my thread.  Sometimes that's the only way to get it out.

I'm hoping some of the other UK KG's will jump on here and make some great suggestions for you.  There has to be a way to get you better.  Meanwhile don't worry about posting on everyone else's threads.  You've got a lot to handle right now. 
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 10, 2009, 02:59:42 PM
The thing is here it's not as easy to find drs who specialise in particular things. He is a well known sports injury surgeon. Recommended by the rugby team and football teams and all injuries that accompany that. Maybe it's because I am not built like an athlete they don't know what to do.

I don't know of any docs in Scotland that are purely patella femoral experts so he is the best that has been recommended to me within reach.
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on March 10, 2009, 04:08:13 PM
It could be that you just have a rare condition he has never seen before and doesn't know how to treat it.  Working sports injuries doesn't mean he has seen every possible injury.  He's probably used to those rock hard muscular athletes and doesn't know how to handle the average person like you and I.  In a perfect world we would all be rock hard athletes before and after surgery but you and I know that's not always feasible.  We just don't train like a professional athlete does.

Have you considered e-mailing a patellofemoral specialist somewhere else for opinions?  I know of at least one on here,  Dr. Ronald Grelsamer in NYC.  Somewhere in the information hub is a link to his site.  At least maybe they could tell you where to go from here.  Some may not want to give any info without seeing you but it wouldn't hurt to ask.  There has to be many of them online.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 10, 2009, 06:39:39 PM
Lenore

 :-* :-* :-* :-* :-* Thank You SO MUCH !!!!!!!!!!!!!!!!!!!!!!!!!!!

I so appreciate al your research and am off to read it all now  :-*

You have a heart of gold but I want you to know I am so grateful and appreciate the time, effort and trouble you have gone to for me.

Thank you for all the links you e-mailed me  :-* :-* :-* :-*
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 10, 2009, 06:58:53 PM
I took your advice and posted a help thread in patella femoral section to see if anyone can help.

So I hope someone can give me hope or option.

Thank you again
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on March 10, 2009, 08:45:02 PM
Hi Joanne,

I am soooo sorry to hear what you went through with your OS appointment. Seriously, I wouldn't bother going back to him at all. He's obviously given up and keeps blaming your quads. Also your PT has no idea what they are doing. It actually scars me.

One thing you could do is email my OS in Melbourne to see if he knows of any one good in Scotland or in the top part of England. I will email you with his contact details. I wish I could send him over to you.

Another idea would be to email Pure Sports Medicine in London to see if they could give you some names of some good patella specialists in Scotland or the upper part of England. Their website is www.puresportsmed.com They are a great clinic and was a patient there when I lived in London for a couple of years.

One more idea, there is a top patella specialist in Norwich called Simon Donnell. I know a lot of people travel a fair way to see him. Tracey went to him and has great results.

I agree with Lenore, it is time to get another opinion. Your OS obviously doesn't have a good understanding of your problem. I had concerns a while ago as you know.

Let us know what you think. :)
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 14, 2009, 06:56:02 AM
I forwarded all my info onto a friend who works in philadelphia. He said )he was a soccer player here and now works there) he knows some well know OS in Philli and he is going to show them my case history for advice. Dont know their names but I hope its progress !!!!

On another note I have had a bit of a shock this week. I dont want to post here but if you PM me or can we meet in chat sometime ?
I will fill you in then, still a bit speechles.
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on March 14, 2009, 07:52:11 PM
That's great Joanne,  hope your friend in Philadelphia can get answers from the OS there. 

Hope your shock was short lived and nothing you can't deal with.  You really do have so much going on. 

Thinking of you.
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on March 14, 2009, 10:40:27 PM
Hey Joanne,

That's great news. I hope you hear something soon.

Sent you another email. Hope you're ok. Thinking of you heaps. xx


Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 15, 2009, 07:38:01 PM
Thanks guys - I see the OS again tomorrow.

My shock will be  alot longer lived Lenore and changes everything for me with no doubt serious effects for the knee. I am not ready to post for public consumption but will PM you. I have worries how my knee will cope.

Anyway tomorrow will tell a tale.
Kirsty thanks so much for your emails

Hope everyone else is ok.
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on March 16, 2009, 09:08:56 AM
Hi Joanne,

Good luck for seeing the OS today. Hope he is in a better mood and has more answers. Good idea taking someone else with you.

No worries, I really care and sorry what you are going through with your knee right now. You don't deserve it. I hope you can find someone that can help you soon. Sounds like your OS and PT are giving up. I hate that feeling.

Been in a lot of pain today, but feeling quite a bit better tonight. Updated on my diary.
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 16, 2009, 04:31:37 PM
 ;D ;D ;D ;D ;D

Well I had a GREAT OS apt today I am so releived and pleased. He was at some metting Friday where many surgeons from the UK get together and study cases. One came up that he said was exactly like me. He said it was rare and something to do with the LR and they would revisit it and reconstruct it but I do need to get the muscle nerve fibre testing first so they can look as to where. That and some other wee bits but that the problem all lies on the lateral side. He sais this case they looked at was a person with my history hypermobility and exactly same muscle function problem after the LR......I wont bore you with the full story but I feel so happy to know I am not a freak of nature and someone else has what I have had.

On another note I now have got my head round my news.


Deep breath



















I am pregnant !!!!! :o :o :o :o :o


It was a huge shock and very definitely not planned. I was so worried about my knee and the OS says that we will take it as it comes, if my ligaments soften greatly then we will look to do the surgery at a more safe stage ( I am only 6 weeks) and if we can wait til afterwards.

I am in shock a bit still and worry how I am going to carry the weight and have so many concerns, but I feel boyuant today as I dont feel alone anymore, I have an actual condition others have had and there may be a way out of it. The pg we will all have to work with.

So I havent told many people yet and not my kids as I have been on tramadol and its not advisable in pg. So I am praying all is well with the baby and no damage is done and just wish I could get an early scan to ensure all is ok. I would be so grateful for any prayers in the hope its going to be ok.

There I have said it......still cant quite believe it but at least I can say it now. Its taken me several days to get this far.
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on March 16, 2009, 05:46:26 PM
Oh yeah, I love seeing all those grinning faces!  So glad to hear you had a good OS visit. So other than the muscle nerve fibre testing what is the next course of action?  And did you discuss your other situation?

Deep breath, smile, deep breath, smile!!!
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on March 17, 2009, 01:21:01 AM
Hi Joanne,

I am glad that you got more answers.

Would still be seeking another opinion though. He should have known that could happen. My OS was certainly aware of medial instability being a side effect of a lateral release and was prepared to work with me to resolve it. Fortunately my left knee is totally fixed. Yeah !! Just need the right one sorted. Will be speaking to my OS about that in August when I see him.

Would definitely ask about a MPFL reconstruction. My OS did one after my LR as it was really loose on my lateral side too, like yours is now.

Great news all round. I guess you just need to take one step at a time.
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on March 17, 2009, 04:17:41 PM
hey Joanne!

I'm happy to hear that your OS now feels like he can help you. The first message I read on your thread didn't sound very positive. But as I made my way to more recent posts, I was delighted to read more hopeful news.

And super congrats on your pregnancy!! I've not had a baby (yet!lol) but can imagine the strain it puts on knees. but your OS will help monitor you and I know everything will work out. I'm so happy for you!! Things are looking up! How many children do you have? I don't remember.

Have an great day! Xoxo
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 18, 2009, 08:53:14 AM
Thanks nevella :-*

It's really starting to sink in as I had been feeling unwell but thought I had a touch of food poisoning last week. However I feel very sicky and so far have managed to not throw up.

I have 2 little girls already Nevella who are 4 and 7, and was very very sick with them and had complicated pregnancies that meant I visited hosp a lot. I so far have not had great pregnancies so I am worried over that plus my knee. The OS said as pregnancy softens and loosens ligaments to prepare your pelvis to open slightly for birth that the obvious down side in the ligaments in my knee means I may have to face surgery at a safer stage of pregnancy. However one step at a time , I am going to need this surgery it's just a case of before or after baby. If it was safe before would be easier for me to cope with as on crutches with new baby is not an option and realistically I don't think there is a suitable time in the first 2 years that I could do it.

However I was super shocked at first- super shocked and it has taken a few days for me to cope.

However one week at a time and I am just trying to not think too far ahead .

How are you doing ?
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on March 18, 2009, 09:31:17 AM
Hi Joanne,

Pleased to hear that you are taking one thing at a time. It is a good approach to have.

Not been feeling great today after the Boxer attacked Rusty. He wouldn't even hurt a flee !! I contacted my OS's rooms today. Updated more on my diary.

Resting up now as I am in a lot of pain.
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on March 18, 2009, 09:43:41 AM
Sounds like you're keeping a pretty good attitude about all this Joanne.  I'm glad to see it.  Maybe this pregnancy will be the easy one and you'll be surprised.  One step at a time is the best approach.  You'll get there in the end.
Title: Re: Patella stabilisation post op diary
Post by: kathat on March 19, 2009, 05:09:22 PM
Hi Joanne,

Wow!!! What a lot to catch up on! You certainly have plenty on your plate, but it seems like things are looking up all the same. A baby is something to look forward to, and the knee news sounds positive. At least they seem to have a way forward at long last. I agree that crutches go better with pregnancy than with a baby - I was on crutches during one of my pregnancies, due to groin strain, and it wasn't all that bad. So surgery before the baby comes would be good, if possible, though my friend had a baby sling that was easy to get the baby in and out of and would be a great idea if you did have to use crutches once bubs arrives. There are always ways to manage these sort of things. Anyway (((((HUGS))))) and congratulations.

Take care,

Kathy
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on March 19, 2009, 07:37:20 PM
Hey Joanne,

I'm glad that you have such a positive attitude.  You seem to have a doctor who is wanting to do everything possible to help you with your knee, and now with your pregnancy too (figuring out the best time to have your surgery). Like Lenore said, who knows, maybe this pregnancy will be the easy one :) I hope so ;)

I'm doing fine thanks.

ok sorry this is short but Martin just got home and needs the computer (I guess that's fair since i've been on it all day, lol).

I look forward to your next post (to see how your'e doing). xoxo
Title: Re: Patella stabilisation post op diary
Post by: tanyap on March 19, 2009, 08:20:51 PM
Jeez!!! I go on holidays for a few days and I come back to all this news!!!!!!!

First of all - I was totally shocked at your condescending OS appointment, was wondering was he just not knowing what the blazes was going on etc.... then saw that he had decided he WAS going to do something, so I can hold off on my rant about how its horrible when they just dont know what to do etc...

Now - youre pregnant!!! Wowzers!!! Congratulations to you!!! Its great news! Listen - forget about worrying, things have a way of working themselves out, and who knows, maybe this will be an easier pregnancy AND maybe the extra weight will help work those quads more in a good way eh?
One way or another - glad to hear that although youve one dodgy bit - the rest of you works just fine!!!

Freak of nature? I thought I was the ONLY one of those - we should rename the site KneeFreaks :)

I feel a virtual holiday coming on, bit of R&R while we rub coconut oil on your belly :)
xx

Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 19, 2009, 08:48:34 PM
aww Tanya I miss you when you are away  :-*

I know I am totally gobsmacked stil.......except that is for the growing waves of sickness I feel. But I console myself with those are good signs.

The knee is playing up a bt and i have twinges on both medial and lateral side but as hormones are raging just now I am not unsurprised that my knee is complaining a bit. I forgot just how tired you feel.

Got a phonecall today from the neuro consultant and he will ring me again to speak to me...I missed his call.

SO all in all it has been a very strange few days.

How is everyone else doing just now ? When is the wedding Tanya ?
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on March 20, 2009, 01:58:07 PM
Hi Joanne,

How are you feelin today? Is the knee still twinging a bit? I hope it's not bothering ya too much.

Guess what I'm watching right now? "A Baby Story", lol. I've always loved that show on TLC. Whenever I watch it, I'm like "I want one now!!", lol! But we're gonna wait 2 yrs (until we're married and have more money).  Are you feeling very sick today? How far along are you? I forget if you said that already.

So did you hear back from the neuro consultant? Sorry, but I am a bit clueless. What does a neuro consultant do? I know neuro has to do with neurology, right? So I'm a bit confused  :-\ Story of my life, ahaha :D

Ok, time to go start my day.  Today is the last day of March Break (boooo!!!). Oh well, now it's spring and I have lots to look forward to (so I can't complain).  Wishing you a wonderful day! ;)
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 20, 2009, 02:29:14 PM

Nevella thanks so much. I was a bit sicky this morning but after that not too bad. It can come in waves and and you just feel off. But so far so good, I think I can't be more than 6 weeks.

The neuro consultant is the one who will do the needle testing in the muscles. He checks to see if their has been any nerve damage.

Do you get holidays at Easter too Nevella ?

Thanks for your reply :-*
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on March 20, 2009, 02:45:53 PM
Hey Joanne,

I'm glad you're feelin good so far today :)

Yup I get a 4-day weekend for Easter (Good Friday and Easter Monday off). Hopefully I won't be sick, lol.

Take care ;)
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 20, 2009, 08:31:22 PM
Today has been a good day, the knee gave way a couple of times but so far I have so much to think about right now it helps with the pain as I cant take tramadol anymore.

One day at a time and get through the weeks.

Nevella hope you enjoy your weekend before work again.
 :-*
Title: Re: Patella stabilisation post op diary
Post by: tanyap on March 20, 2009, 08:46:34 PM
Hi Joanne,
Im glad your knee is not stopping you from getting on with life anyway - thats the main thing!!

My wedding plans are slooooowly progressing (im just very lazy about organising anything). Am having registry office ceremony on Fri 30th Oct at midday, then off to restaurant, hotel later - just a small few people with us that day. Next day (Halloween :) have booked a 16th century house in local park (where I do a lot of my walks!!) for a Masquerade Ball - complete with Venetian masks and ball gowns - we are not doing sit down meal or speeches etc... just DJ, buffet and bar (none of which we have booked yet!). So still lots for me to organise........

Was thinking of wearing this dress for registry office:
http://www.unique-vintage.com/images/unique-vintage/8946larger.jpg

I got it on the internet but Id need to lose some belly weight to look good in it :) (sez me just after a chinese takeaway!), Im not fat, just carrying a little much for my liking on the mid section. I go up and down naturally though - i may just be on the upswing right now!!

Whens your due date Joanne?



Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on March 20, 2009, 09:18:59 PM
Hi Joanne,

Pleased to hear your knee was not too bad yesterday and taking things in your stride. Well done ! It can't be easy, but you have a great attitude.

Any more news from your friend in Phili ?
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 21, 2009, 04:15:57 PM
WOW Tanya :) ;) :D ;D

What a dress ! I think you would look gorgeous in that.  Cant wait to see the photos already  :-*

Really cool idea for a party. I judt done invitations for a masquerade ball and made them promise to send me photo after it.

My due date is Nov 17th ish so you will be a MRS by then ;D

Kirsty thanks for the message, I havent heard anything from Philli yet but they did say it could take a few weeks.
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on March 21, 2009, 08:31:48 PM
Hi Joanne, just checking in to see how you're doing.  Sounds like you are handling things well and coming up with a plan.  One day at a time is the best way. 
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 23, 2009, 05:25:43 PM
Thanks Lenore

I am having huge waves of tiredness, I just get so tired and nauseous. It comes in waves but I am struggling running after 2 kids getting to school and nursery for my kids and meeting times for their dancing and after school activities.

I go on Wednesday for thisw neuromuscular testing where they stick needles into the muscle and measure nerve impulse.

Anyhow I am so sorry I havent checked up on everyone I am just trying to get extra rest.
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on March 24, 2009, 01:00:56 AM
you take all the time to rest that you need, missy! Don't feel as though you have to update every single day. You sound so busy, so take time to rest, k? Especially now that you know you're pregnant. Don't overdo it :)  I can't imagine the nausea (never been preggers) AND running around after 2 young kids and taking them here and there (you're incredible!).

ok, i'll check back tomorrow. I just wanted you to know i'm thinking about you!

Tanya, sexy dress!!! ow! ow!!! Love it! :D
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on March 25, 2009, 11:20:04 AM
Well I am sick as a dog. I know many people think morning sickness is just in the morning with a slight nauseous feeling. I am one of the unlucky that get so sick - day and night. With myvother girls I ended up sleeping in the bathroom some nights as I was sick so often. To the extent I got a stomach ulcer as I ended up throwing up blood. I am praying I don't get as bad this time.

To top it today I go for these neuro muscular testing or nerve conduction tests and I am very nervous. I know they stick needles in the muscle so I hope it's not too bad.

Again I am so sorry I am not getting on your threads would u leave me an update here ???? I miss chatting to you all and think of you so often.

Will tell you how it goes later
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on March 25, 2009, 11:57:52 AM
Oh Joanne, that sounds absolutely miserable.  Nauseous night and day is terrible.  Does that go through your whole pregnancy or just in the beginning?  Hope it doesn't last long. 

Hope the needles today aren't bad. 

Don't worry about posting on our threads.  You've got a lot going on right now. 

Good luck today!
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on March 25, 2009, 10:56:02 PM
Hi Joanne,

Oh I'm so sorry to hear how sick you're feeling. And how sick you became during your other two pregnancies.  That sounds so awful :(  I hope this pregnancy is easier for you. 

How did the needle test go? Yes it sounds not-so-fun. I hope it wasn't very painful.

I'll check tomorrow for your reply.

xoxo
(http://dl5.glitter-graphics.net/pub/443/443055nqwz1cd0mk.gif) (http://www.glitter-graphics.com)
(http://dl6.glitter-graphics.net/pub/1170/1170326f9p6i1etq7.gif) (http://www.glitter-graphics.com)
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on March 26, 2009, 03:16:22 AM
Joanne....

Congrats!! ;D :D

Am playing catch up here and saw your news....wow, what a surprise, huh? I am sure everything will work out ok with the knee. Just take it one day at a time and try not to stress over it right now.

Im happy for you ....and miss talking to you tons.

DONNA
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on March 26, 2009, 06:44:43 AM
Hi Joanne,

Dropping in to say hi. Also been taking a bit of a break from KG. Will only update my diary when I have some real news.

Sorry to hear that you have not been feeling well at all. Not been feeling the best either. Feel like I am coming down with a chest infection.

How did the neuromuscular testing go ?
Title: Re: Patella stabilisation post op diary
Post by: tanyap on April 02, 2009, 06:28:44 PM
Hi Joanne,
sorry youve been so sick - but are new babies not worth is and dont you forget all that sickness the minute you see them :)

On a more serious note - poor you!!!!

How did your neuro muscular testing go?
x
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on April 07, 2009, 06:23:39 AM
Hi Joanne, so sorry I haven't been here in a while.  Lots of medical issues and general business has kept me off many diaries.  Here I am now though!  So sorry your pregnancy has been kind of difficult!  I wish I could say I understand, but we are waiting a few more months to start trying for a pregnancy ourselves.  Who knows how long it may take for my medical issues to be over.  Too much to go through in detail here, but I have an infection in my back from my February 6th SCS revision surgery (spinal cord stimulator).  I am on daily IV antibiotic treatments for up to 4-6 weeks if improvements is continuously showing.  If not, then first the plan is to reopen the incision and clean it out.  If that's still not successful, the SCS has to come out!  They finally got it right in February and now it may have to come out!!!!!!!!  It's a frustrating situation!  I also have severe patellar tendinitis in my usual bad leg.  So just yesterday I had a PRP procedure (platelet rich plasma).  They draw blood, separate the platelets and reinject them back into your tendon to promote natural healing.  It was all done through ultrasound.  With my RSD under control for now, maybe the PRP can get me off my cane!  If my SCS comes out, that's a whole other story that I'd rather not think about :( 

I am still jobless, but looking.  I realize the timing for a new job would not be good right now, so my phone interview tomorrow is for a job at my husband's company.  Great benefits and semi-flexible hours to accomodate life!  We'll see how that goes! 

How's Ben doing?  Did you use a spray bottle to improve bad behaviors? 

Well keep us posted on your condition!!!  Can't wait to know you have the pitter patter of tiny feet!!!  :)  I want that sooooooo badly! 

Farrah
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on April 08, 2009, 02:33:16 PM
Hi guys thanks for all the posts :-* you cheer me.

I am just so sick :-X I suffer from a condition called hyperemesis gravidum which is may more than just morning sickness. I am struggling to keep any food down and liquid. I have already lost 5lbs and last night I have been sick so much I threw up blood. I dont want to be admitted as there is nothing they will give me other than put me on a drip so I'd rather have home comforts.

My knee twnges and pulls the whole time but as I spend most days in bed its non weight bearing much more just now. The neuromuscular testing came back as my muscle was ok nerve wise which was good...and as I predicted anyway. Have not seen the OS since as I have been so unwell.

I am only 8 weeks and it feels an eternity until 12 weeks when they hope this may calm down slightly....... :'(

Thanks for all the kind thoughts and hope to get on soon. Sorry I havent posted on your threads I struggle to go online at all just now.
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on April 09, 2009, 12:22:40 AM
I just commented on my post but now I see what's going on with you.  Oh you poor thing.  That sickness feeling must be so awful and now you're even throwing up blood.  EEEK!  That's terrible!

Don't worry about posting on our threads.  Just update this one once in a while so we know you're still around.

Hope this doesn't continue or at least gets a little bit better for you.  Just keep your thoughts on the end result...that cute little baby bundle you will have. 
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on April 09, 2009, 10:33:42 AM
Hi Joanne,

Sorry that you are suffering so much.

Hope you are feeling a bit better soon.

Good news about the nerve testing. Thought that's what it would show. I had nerve testing and came up fine too.
Title: Re: Patella stabilisation post op diary
Post by: MartinsGirl on April 13, 2009, 01:12:46 AM
hi Joanne

Throwing up blood? Oh my goodness! I hope that passes very soon! You poor thing!

I'm glad your nerve test stuff came back with good results.

As Lenore said, just concentrate on you for now and don't worry about not posting on other threads.

Love ya!
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on April 15, 2009, 06:12:49 AM
Joanne....

{HUGSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSS}

Donna
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on April 15, 2009, 10:01:16 AM
MORE (((((HUGSSSSSSSSSSSSSSSSSSSSS))))))!!!!!!!!!
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on April 24, 2009, 02:57:32 PM
 :-* :-* :-* :-* :'( :'( :'( :-* :-* :-*

Hormonally full of tears of gratitude for your kindness. I have missed you all and if you could see me. I have lost 8lbs so far and look guant and a mess really. I am in bed most days just now, I cant eat much, when I do I get stomach cramps from being so sick and then am sick so have no energy. Finally I can keep fluids down (they were going to admit me last week as I was dehydrating) and live on lucozade (energy drink).

My knee aches.....I dread it when I am on my feet more and this is before the ligament softening kicks in. I am 10 weeks 3 days. I go for my big scan on Tuesday of next  week so am just praying all is ok.

I miss you all so much as you are about the only people I want to "see"....cause you cant see how bad I look, hair is a mess, I feel awful and am struggling to be happy right now. I swear I am the small print noone ever tells you about in pregnancy. Although to give you hope Farrah for when its your turn I think its only about 1-3% of pregnancies are as bad as mine.

Anyhow hopefully I will turn the corner in a week or so and will be bouncing back on here. Then you can start telling me your old wives tales for boy or girl theories :-*

Missing you all and so appreciate your kindness
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on April 24, 2009, 09:49:34 PM
We certainly don't care what you look like but 8 lbs. already?  Wow!  You're supposed to be gaining weight not losing.  I think stomach sickness is worse than all the pain I've ever had in my knee.  You just feel so helpless with that sick feeling.  Especially when it lasts as long as you have had it.  Yuck! 

Really hope it doesn't last much longer Joanne.  You poor thing.  Thinking of you.
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on May 02, 2009, 06:08:30 AM
Thinking of you, Joanne, and hoping you turn that corner real soon and start feeling better.

many hugs.....
Donna :-*
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on June 07, 2009, 08:11:16 AM
 ;D ;D ;D ;D ;D


I'm Back !!!!

How are you all ???? I have missed you guys so much and hope everything is progressing with you all.

I am now 16 weeks 5 days aand going for  a gender scan today. It has been rough, the sickness was unabating and the feeling of being so ill was night and day for weeks but I finally turned the corner around 14 and 1/2 weeks. I am praying all is well with this baby as I dont know if I could go through that again. I couldn't care for my children, lots over a stone in weight and it was tough going.

However I am back :) Now of course I am vertical again and the knee is playing up....surprise surprise. In 2 weeks I have been so hungry I have put on 5lbs so the weight is coming and as this is my 3rd the bump has started to appear already.


Here is our 14 weeks scan
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on June 09, 2009, 02:19:31 PM
Hi Joanne,

I did post a message, but seems to have gone in to cyber space !!!

Glad you are doing much better now.

I am so pleased that you feel you have turned the corner.

How did your gender scan go ?
Title: Re: Patella stabilisation post op diary
Post by: lenorem9 on June 09, 2009, 02:22:47 PM
YAY!  A little Joanne Jr.  Hope the sickness stays away and the rest of the pregnancy goes OK.  Take care of that poor knee Joanne.
Title: Re: Patella stabilisation post op diary
Post by: arkitect06 on July 01, 2009, 08:23:37 AM
Joanne, congrats again!!!  It's so exciting to see the actual baby in your belly!  What did you find out about the gender??  Girl or boy??  Names yet?  My friend is 26 weeks pregnant right now and she was lucky to have had it easy so far....no morning sickness or any unusual problems.  Sorry you had the opposite!  I have a feeling when it's that time for me, that it will be nothing but difficult!  The end result will always make it worth it though!  I can't wait for the day when it's my turn!  :)  Matt and I keep waiting for things to all improve.  It's getting there.  One more surgery and i should be done for a long time! 

Keep us updated!  I hope the rest of your pregnancy goes smoothly for you and your knee gives you a small break at least!  Make sure to ice it!!!  Have a good weekend!

Farrah
Title: Re: Patella stabilisation post op diary
Post by: lilrosie06 on July 06, 2009, 03:56:53 AM
Hi Joanne. Thinking of  you and hoping things are going well. Let me know when you find out what the baby is....miss you. DONNA
Title: Re: Patella stabilisation post op diary
Post by: Sore knee on November 11, 2009, 10:39:31 AM
Hi guys, feel as if I have been away forever....I have been in hospital for most of my pregnancy.
 :P
BUT

I had a  LITTLE GIRL !!!!!!

I have put the news in the general section under a new post and will fill you in later on the knee saga.

However I am out of hospital now YIPEEEEEE and so pleased to be "normal" at home again.

Thanks for all the well wishes :)
Title: Re: Patella stabilisation post op diary
Post by: Silkncardcrafts on November 11, 2009, 10:53:33 AM
Hi Joanne,

Fantastic to hear from you again ! Congratulations on your baby girl. Bet you are glad you have had her now.

Sorry to hear you were in hospital most of your pregnancy. Hopefully it is onward and upward now.

What is your little girl's name ?
Title: Re: Patella stabilisation post op diary
Post by: Clarkey on November 13, 2009, 03:50:25 PM
Hi Joanne,

I may not have posted on your threads before but I am sure you come across my postings on KG as I am a regular poster. Congratulations on having a baby girl its nice to hear some positive stories on KG for a change rather then bad stories about members bad knees.

I have 10 nephews and 3 neices and age range is from 19 to 2 so use to having them around me during family gatherings.

Nick :) {2009} :)
Title: Re: Patella stabilisation post op diary
Post by: zfw1987 on November 28, 2011, 11:58:19 PM
Hi,

I had patella stabilisation surgery 5 days ago. I had dislocated this particular knee 3 times and it was very lose so they tightened everything up and also moved my leg bone over and put 2 screws to hold it in place. I wanted this surgery because I never wanted to deal with the intense pain of a dislocation again. I've always had to wait for an ambulance to put it back in place and always require ALOT of pain medication to do so. The problem is since my surgery I have no been able to get out of bed because of the pain. for the first 24hours i was in hospital and had a nerve block in my leg so didn't feel a thing but now getting up and down has the same pain as actually dislocating it (although of course it doesn't last as long). I've tried changing the medication but it ALL makes me feel extrememly nauseous (i have anti nausea pills but they don't seem to help much). My surgeon just keeps saying it will get better but it hasn't improved at all yet and i don't know what to do! any advice on if anyone experience similar pain and for how long would be appreciated!  :'(