DIARIES => Post-op diaries (50-100 posts) => Topic started by: allyd on September 20, 2011, 11:21:08 PM

Title: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on September 20, 2011, 11:21:08 PM
Hey all… Just thought I’d get a Post Op Journal going. My MPFL & LRR on my right knee is only a few days away. Friday 9/23/11… I’m hoping everything will go great, and I’ll be able to post my successes. We don’t see enough of that around here. OR… everything will go badly and they’ll chop my leg off. Ha. Stay tuned, we’ll see what happens!  ;)

Overall, can’t really wrap my head around what to expect as it is my first surgery EVER! Yikes. I’ve stocked my apartment up with the typical “knee needs” as well as my guilty pleasure movies, books, food, etc.

Short term goals:
Week 1 - Don’t kill my mother when she keeps “stopping by” to check on me
Week 2 – Awake from the "haze" and regain some normalcy and independence
Week 3 – Back to work & driving, albeit minimal driving. (And before a bunch of you jump on the  driving to soon – this was my OS’s take on the situation, not mine – YES, I’m stubborn enough to make it work, find a way and will not ask this question again, simply because I got the answer I wanted the first time. Sigh, I know, I know, we’ll see how it goes... This is about the time where I wish I lived in the less populated area of my childhood)
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: oohheykate on September 21, 2011, 02:38:55 AM
Good luck allyd! I'm sure it'll all go as planned and you'll be on your way to having a normal knee soon enough :)
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on September 25, 2011, 02:46:13 PM
Post Op Day 3

Surgery Day went well. Everything seremed to flow smoothly. Everything went as planned, if not better. I'll post more on the op later. Overall, Pain control has been a breeze so far. There was one small incident when the nerve block wore off. So, the last couple of days have really just consisted of a lot of couch time and tv. I'm learning how to get around on my own and function. - which is good because my sister leaves today! We are gonna change the dressings and attempt a shower before she leaves. BIG DAY... haha.

will try to post more details later.

Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: Runner1993 on September 26, 2011, 12:46:50 AM
Glad to everything went better than planned! With both of my surgeries, I always had to have more work done than we originally planned! I'm interested to read more about how the surgery went and about how recovery is predicted to play out for you. Best of luck!
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: Brambledog on September 26, 2011, 05:51:11 PM
Hi allyd,

I'm also following your progress with interest. Sounds like you're doing well so far. Keep going and good luck with it all!

Brams  ;)
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on September 26, 2011, 06:48:04 PM
Hey all - thanks for your support. Now that I can focus a little clearer, I'll try to recount my first few days in more detail.

Day 1 - Surgery day
Surgery was scheduled at 2pm and needed to be to the surgery center at noon. Lucky me, My OS was running ahead of schedule, so I got a call at about 8am asking me to come in around 11am. We went through al the normal pre-op stuff, forms, etc. Anesthesiology came in, we decided on a general and a nerve block. The doc came by, signed off on the knee, asked a few questions and then they wheeled me back to the OR. They knocked me out and I woke up as if no time had passed in recovery. No bad side effects to the anesthesia or anything. Was happy about that.

As for the surgery itself, per my Mom and Sister - my OS said everything went really well. When they scoped the knee, they looked at the suspected damage on the backside of my kneecap and decided it was fairly mild and could be left as is. She had originally planned to shave it down. So that turned out better than thought. Everything else on the scope was clear. She then proceeded to do the lateral lengthening. They lenghtenined the lateral retinaculem and let the patella "settle naturally" into the normal groove. She ended up lengthening it by 22mm. In contrast to a simple release, I believe they actually repair it at the "proper" length. She then finished with doing the the MPFL recon, It all went fine I guess. I'm sure I'll get a clearer understanding of all this when I see/talk to myself during followup.

So, we got home about 7pm. I settled in with my drugs, pillows and a little food. My sister was laughing at me, because I was so chatty and alert... Just like when I drink! haha, good to know drugs have the same effect.

Day 2

The Nerve block wore off early in the morning about 5 am. So, I woke up to my quads randomly spasming, and that caused a lot of pain, I had cold chills/sweats, and wasn’t a good situation. I got up to use the bathroom and thought I was gonna pass out. We got me back to the couch, something to eat and another round of pain meds. After that we were very religious about keeping up with the meds at about every 3 hours. I was out of it most of the day, but mostly pain free.

Day 3
Really turned a corner today. When I woke up, pain levels had gone down a lot. We cut back dramatically on the pain meds. I didn’t feel like I needed it, and just wanted to be alert. With the Nerve block worn off, I was able to also start PWB, which helped my confidence a lot in terms of mobility. Seemed to feel better about it every time I get up. Was able to take a shower! Also changed the dressings – cant say the knee looked all that pretty… quite mutilated actually, but it is what it is.

Day 4

With my help gone, I’ve transitioned to hobbling around on one crutch around the apartment. Pain levels are still low, and I am managing with ice and a pill here and there. I think the ice almost helps more than the Percocet. Seems to be at about the 8 hour mark where I start to get to a pain level I don’t like and I’ll take one, only to pass out within an hour of taking. Hard to complain about that.

So…. That’s my basic story to date. I expect everything to be manageable the next few days. I start PT on Thursday 9/29. Guessing, pain levels and my general attitude of “I’m doing great” may change then
Title: Re: Allyd's MPFL + Lateral Lengthening - 9/23/11
Post by: allyd on September 28, 2011, 03:38:35 AM
Post Op Day 5

Okay, I'm officially bored out of my mind. Pain levels are non-existent, and I have pretty much stopped taking the Percocet. I feel lucky to not have a lot of pain. I know there are some long days with PT ahead of me. But having read a lot of other MPFL stories - I was expecting more pain early on. But I also think my OS's technique avoids a lot of the pain often associated. I have no screws in my knee, and she did not drill into the femur to attach, but instead wrapped it around another tendon in the area. Or maybe I'm just tough. ha. Whatever the reason, count me lucky.

I also noticed today that all the blood, bruising and fluid has started to settle on the outside of my knee, underneath by my hamstring. That should be fun to work out. I tested my ROM a little today in the brace and only got to about 35 degrees. Its amazing to me how tight it is. Anxious to start PT and really start working on. I can already do a SLR in my brace with no probs and have been working the quad sets. I've lost some extension. I'm probably at 0 degrees right now - but normal for me is -10 degrees. Overall, it just feels like a rock has replaced my kneecap, whether I try to extend or flex it. Patience is not my virtue.

In the meantime any ideas on how to pass the time? Even though I feel ok, I know its important to let my body heal and lay low. I just feel so shut in and I'm thinking by the end of two weeks I'll be going stir crazy.

Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: LKnees on September 28, 2011, 04:17:12 AM
Glad to hear that the surgery went well and that you're not in too much pain. I'm sure your ROM will improve once you start PT.
When I had  my surgeries and was stuck inside I watched a lot of Netflix! Everytime I tried to read I'd fall asleep. The time does go by quickly though after the first few days.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on September 28, 2011, 03:29:56 PM
Thanks for the support Lisa. Netflix has been a life saver! I have a couple of books I think i'm going to start in on today as well. Since I stopped taking the pain killers, I can actually stay awake while reading. Otherwise, yup... I was out within a minute. :)
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on September 30, 2011, 03:13:12 AM
Post op - 1 week

Had my first PT appointment today. Went great really. My PT was really impressed with my strength, quad control. Said she's maybe had one other person in the last year come in a week after surgery with that good of control. I am already able to do a SLR with my brace on. My PT exclaimed as she was taking notes about the session "Your OS is gonna be so excited I wrote that!" We both agreed that my fitness, strength, and activity pre-surgery had a lot to do with this.

Main focus of the appointment though. Motion... not a pleasent feeling. I was able to passively get my self to an uncomfortable 40 degrees with heel slides, but then she also got me to 60 degrees. (got another pat on the back here, "yay, you already met your two week goal!") I think its always easier for someone else to push you than for you to do it yourself - the mental block is hard to get past.

She's not that worried about the strength yet... partially because I can already do everything they work on early on. My main goals are motion and get a better control on the swelling. I thought the swelling was fairly under control, it hasnt pooled in my lower leg or ankle... but she wasnt to impressed with that. I think I learned my lesson today that I need to be better about elevation, etc before I go into PT. I was so anxious to get out of the house today, I had my mom pick me up a couple hours early and we went out for lunch. Then after PT after a brief icing session on the couch - my sis-in-law ended up stopping by and ended up going out for supper tonight too... Tonight, I swear my knee is twice the size it was this morning? Too much for one day i think. But it was great to get out...

Tomorrow I go in for my post op visit with my OS's nurse...
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: Runner1993 on September 30, 2011, 04:57:53 PM
Congrats Allyd, sounds like you are doing really well! I can't believe you have non-existent pain already!

Do you have a hinged brace? Is it locked straight at 0 degrees?

It took me about 2 weeks to do a SLR after my TTT/MPFL/LR and I was in pt 2 days after surgery. My PT was very proud of me so doing it at your first appt. is amazing!

60 degrees is great, too, doesn't seem like much, but it is. Took me at least a 1.5-2 months to get there. In addition, make sure you work on extension (my main problem).

I had a ton of blood pooling/bruising and it hurt :/ Elevate and ice! Do you have a special ice machine or are you just using bags?

Are you putting any weight on your leg with the crutches or are you NWB?

Hope your appt went well : )
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: oohheykate on October 01, 2011, 01:35:28 AM
Sounds like you are doing well!

You're very lucky (blessed with great genetics maybe?) that you don't have pain! I think the no screw thing definitely is playing a role in that. I'm almost six months post-op my MPFLr and I get pain where my screw was placed sometimes and it's supposed to dissolve.

Congrats on the 60 degrees! I didn't get there until maybe a month after? Keep working it and you'll have full ROM in no time.

How'd your post-op visit go?
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on October 02, 2011, 06:26:32 PM
Runner, Kate - thanks for the reinorcement. I definitely feel great with where my recovery is at, I truthfully expected it to be worse thus far. In some ways, I almost feel bad that I made so much progress in one week and you guys struggled to get there finally after weeks of work. ;) I just hope the progress keeps up. I have high hopes for being my OS & PT's star patient. lol.

I am PWB, have been since the nerve block wore off. I am down to one crutch around the house. It doesnt hurt to even put full weight on it, I can just definitely tell my muscles arent strong enough to support it... Little wobbly. So the crutch is more for balance than anything I suppose. I just have the gel type ice packs. Which is fine, I've always like them - I just keep rotatiing them out of the freezer. I've been more conscious about getting my knee elevated since my PT appt. - I've started using 2 pillows instead of 1 type of a thing.

Post Op appointment went fine. It was just with my OS's Nurse, to check out the incisions, etc. She cut off the suture ends, asked a few questions about my pain, filled out some paperwork for my work and I was on my way. I go back to see my OS in a few weeks.

My only concern of late is I've noticed a lot more bruising suddenly around the incision for the MPFL attachment to the femur. Seemed to start after I've started working my ROM the last few days... Its definitely a lot more tender on the medial side too, but that seems normal to me... I guess just when I see new bruising in the area, I get concerned I may have started to pull apart sutures at the attachment or something. Its probably completely normal and just from the trauma of the surgeon digging around in there, plus the increased blood flow I'm creating with bending my knee.


Title: Re: Allyd's MPFL + Lateral Lengthening - 9/23/11
Post by: allyd on October 06, 2011, 08:49:43 PM
2 weeks Post Op

Quick update on how my last week has been. To start with, I was able to start driving around the neighborhood a few days ago... I didnt really ask for permission, I just tried it out. :) I was suprised at how easy it was, I had better leg control and strength than I thought and was easily able to lift my leg from the accelerator to the brake. This was a sigh of relief as I didnt have to line up rides to PT and I know I can get myself to work this coming week.

PT is still going great. Making steady progress on ROM. On tuesday I made it to 73, and today I got 77 degrees. Nothing else new was really added for PT, just the same basic SLR's, quad sets, etc. My PT said even though I was doing so well, she needed to hold me back this week and we'll be able to do more next week. (I get bored and impatient easily) I really like my PT and she has a great repoir with my OS and my surgery, which gives me all the confidence in her steps. I've had some really crappy PT's in the past, so I often have mixed feelings about these long drawn out structured PT programs.

I was also given permission to start unlocking my brace to 40 degrees this weekend. Which will be great, the locked brace was starting to annoy me. Subconsciously, I go to take a step, wanting to take a somewhat "normal" stride and you cant, at which point I almost trip over my own feet. Dumb.

I'm starting to realize even though I'm doing so great, Its still a long road ahead. Somewhat discouraging, but I guess we all have to "just keep swimming" - At the same time, I feel a little excited that if I stick it out and follow thier rules, I may finally have this crap all behind me once and for all. Time will tell.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on October 09, 2011, 01:36:12 AM
Had a small setback after my last post. Later that night (Thursday), my knee decided to "give out" on me a couple times while walking around my apartment. I hated the feeling, was all to familiar of my knee cap sliding. yuck. The first time, I wrote it off as a fluke. The second time, I simply thought "ok somethings not right." Went to bed hoping it would be ok in the a.m. But it just felt weak and 'loose' and I needed to use two crutches around the apt, which I havent done since 3-4 days post op.

Anyways, since I was concerned, I emailed my PT. She basically said that she had stretched me more aggressively at PT that day and its common for the quad to shut down some, (causing it to give out). She didnt think I damaged anything and it was just a little flared up, but took away my liberty to start unlocking my brace until I see her this next week (Which isnt until Thursday as my appt on Monday is with one of her colleagues).   :-\ She told me to take it easy and rest over the weekend. It is feeling better and I'm not worried about it. I'm just stiff and sore. But the good kind of sore that reminds me I still have (barely) muscles.

Just really hope we start some more strengthening exercises this week as I'm tired of watching my leg waste away. Patience I suppose, Formal PT moves to slowely for me at times. But I'd hate to be the one to screw up my OS's success rate.  ;) I'm actually slightly afraid of her and would hate for my PT to report my non-compliance for my followup in 2 weeks. haha.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: LKnees on October 09, 2011, 05:51:25 AM
That feeling can be pretty scary. Hopefully your knee is ok. Take it easy!
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: Lottiefox on October 09, 2011, 08:36:24 PM
I'm quite surprised that you're driving two weeks after such a big surgery without the advice of your doctor. Can you honestly say you have the strength and control to shift your leg and foot from one pedal to the brake should you need to perform an emergency stop? And have the strength and lack of pain perception to slam your foot down on that brake without thinking if you need to??? I'd feel I needed to ask a medical opinion before trying it, just to make sure I was being responsible in getting behind a wheel. What is the standard MPFL protocol on driving post op?

I know that after my right foot surgery I had nowhere near enough strength to do a stop under such conditions for about five weeks. Just hope you don't need to.... :(

Just to add - I assume you've told your insurer that you're driving post a knee surgery?  :)
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on October 09, 2011, 09:09:16 PM
Frankly, I'm a bit suprised myself. However, If I didnt feel I had the strength and control there is no way i'd be behind the wheel. I have barely any pain, and am ahead of rehab protocol for strength/control. I'm not doing this completely blind without input from my OS and PT. My PT knows I'm driving, and is ok with it. On two occassions, I discussed driving with my OS and both times she felt I would be able to within 1-2-3 weeks, all dependent on my control and comfort level.

And as for emergency stops, made one just this morning! No problem.  ;)

Overall, I guess if I had more accessible help from friends/family - I wouldnt have pushed the issue as soon as I did. Need often results in determination.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on October 14, 2011, 03:57:30 AM
3 Weeks Post Op

Wow, I'm definitely amazed at how far my knee has come in the last week. I've been going to PT twice a week, and today I hit 92 degrees! 1 week ahead of schedule. My PT pretty much said she could have easily got more out of it but was like "nope, your good there - we gotta hold you back some, let it continue to heal" I'm tiring of hearing that, about as much as she is tiring of saying it. She got me on the bike today as well, doing half circles. The not fun part: she made me walk (with a crutch) across the room to the bike with out my brace. As I grasped my one crutch with white knuckles, I just kept saying "really is this necessary?" I'm sure she had a theory in it all... but it was a little sketchy. Crazy what they let you do under thier supervision.

We're getting a little more variety in the PT exercises too, which should start bringing back strength. I have the brace unlocked to 70 degrees in "safe" places for walking, doing mini-squats, and balancing on one leg. With the brace locked I can pretty much walk with out the crutch(s), but I know thats not natural - so this week I'm gonna focus in on walking with the brace unlocked, even though its slower and I dont feel as sure of myself. Hopefully, I can get that sorted out, build more strength/motion and shed these crutches over the next week or so. I'm about over them.

Also went back to work this week. Monday and Tuesday were exhausting, but I've managed to get back on a "normal" schedule and am again trudging through the work week. Its actually nice to be back.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on October 21, 2011, 08:00:49 PM
4 weeks Post-Op

Quick update. Things continue to progress. Yesterday at PT I made it to 102 degrees. My goal for 4 weeks was 90 degrees, so my PT thinks I’m doing fantastic. But I’m bored and becoming impatient, and want to work on my strength more than I am, simply to have some functionality back. I’ve ditched the crutch at home, but still use it for walking longer distances, outside, etc… I know I’m close to getting rid of it completely, and look forward to that day.

Next week Tuesday I see my OS for follow-up - My PT expects her to unlock my brace to 90 degrees and since I’m doing so well possibly give me permission to remove the brace in “safe” places a little bit. We’ll see what the appt brings. Since I keep pushing my PT to let me do more, and am fighting her on “protocol” and holding me back – she also told me if I can get approval from the OS to ramp things up a little, we would. My comment: “yeah, like I’m gonna win that argument”. She also said, “And I need it in writing from your OS, and I know her handwriting!” Apparently, I’m not a trustworthy source. Lol. So goes the battle of my PT protecting me from myself – at least someone is watching out for me!
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on October 26, 2011, 04:11:05 AM
OS appointment today. Went great. Non-eventful and quick is the way to go. She thought everything looked great, was happy with my ROM and strength so far. She asked me what I thought and I simply said "I dont know yet. I'll let you know when its useful again."

Best part, she let me shed the ROM brace - I expected her to keep me in it another week, but I have good enough strength, and things have healed up enough she's not worried about anything happening. She gave me a knee sleeve to wear instead, I actually feel like it gives me more support than the ROM brace? I also get to ramp up the PT. I went in all set to argue for this, thinking she'd want to stick to her protocol and timeline - but when I asked she just said "absolutely! dont hold back, do what you are able to" my reply "i'm gonna need that in writing, apparently i'm not a trustworthy source" she laughed, rolled her eyes a bit and wrote me up a PT order. I cant wait to walk into PT tomorrow with it! Haha... I win!

Overall, Good Day, with good progress! I have a lot of work ahead yet... Will go back to see OS in a couple months.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on October 28, 2011, 09:29:21 PM
5 Weeks Post Op

This week has been a world of Fabulous. Well, as great as it can be. My mobility has increased dramatically since I don’t have to wear the big ROM brace. I am feeling more confident with walking, etc – ROM is coming along great too. Made it to 113 degrees this week. I can even get all the way around on the bike pedaling backwards. My PT thinks by next week I should have no problem going both forwards and backwards. I’m glad I am still seeing progress every week.

Doing more in PT too. Started to practice going up/down stairs with the bad leg. Manageable, yet a weird feeling to say the least – the leg is soooo weak. I’m getting to the point where I think I’m going to start hitting the gym with my PT exercises. I’m much more focused in that environment, and since it’s not all mat work anymore, I will probably make more progress there - and can push myself a little more.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on November 11, 2011, 10:16:12 PM
7 weeks post op

Things Keep progressing very well. My PT continues to ensure me I am progressing light years ahead of the “average” patient. I’ve started going to the gym a few times a week to work through my PT exercises. I can utilize the bike there… Love how it loosens my leg up. I must admit, I don’t think I was mentally prepared for how stiff my knee would still be this far after surgery. My ROM is now at 130 degrees, but it’s definitely not a fully functional ROM yet. I’m walking almost normal with the knee sleeve on, and everyone is commenting on that fact “hey! You’re barely limping!” and so on… My comment, “I wish it felt as good as it looks!”

Overall, stairs are manageable. Not comfortable but manageable. I force myself to take the 1 flight of stairs at my apartment building every day just to practice. I’m a firm believer that forcing the knee to do “normal” activities does more for healing than PT sometimes. I think it’s a combination. The PT exercises are getting more challenging, which I love… This is the first week I’ve felt “sore” (ya know, the good kind of “feel the burn” sore.) We’re doing a lot of balance stuff, mini-squats on the bosu ball (hanging on of course), marching on the bosu ball, leg press, deeper squats with weight shift in order to progress to a 1 leg squat, A LOT of core work (see soreness comment above!), planks, bridges, etc. - I’m sure I forgot a few things… but I love the variety as it seems to make the process worth while.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: dancersknee on November 11, 2011, 10:28:02 PM
Hi Allyd,

Your diary is actually giving me a bit of hope for my up-coming surgery! You seem to be doing a lot better than any other MPFL diary I have read on here.

One question though - what state was your knee/fitness in before your surgery?

Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on November 12, 2011, 12:24:32 AM
Hey Ta - Glad I could give you some hope. Thats been my goal with keeping up the diary even though things are going well. When I was preparing for surgery, all I could find was post op diaries with one complication or another... and kept thinking "where is a story about this surgery that went according to plan?"

One huge thing I had going for me was that I was in great shape, with my knee/leg nearly at full strength. I think that is what has helped me stay on or ahead of the rehab protocol. But, even though all is going well, I still have a long way to go. I've chosen to stay positive, realistic and focus on the progress rather than the things I still can't do or that bother my knee.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on December 01, 2011, 06:39:20 PM
10 Weeks Post Op

Things continue to go great. Over the last few weeks the stiffness has really started to subside. I can easily get my full ROM of 140 degrees w/ little pain or warm up – which thrills me! That in and of itself is making my knee feel almost “normal” again… Whatever that is, not sure I remember anymore.

I’m not gonna sit here and pretend my knee is 100% - it has its trials yet. For a reality check, it still gets tight if I sit with it bent too long, I get a sharp pain at the femur attachment site when I try to do a bridge (this has my PT and I both stumped as it’s the only thing that aggravates it), my knee cap is still numb which is driving me crazy, along with the minor daily aches and pains. But none of it worries me, and it keeps getting better every week and I know I’ll make a full recovery. I’m also starting to feel how much more stable my kneecap is. So much that I think I could hug my OS when I see her next. I’ll give complete approval when I’m back to running and jumping and ultimately not thinking about it with every step I take – so maybe that hug will have to wait. 

In 10 days-ish – I go in to PT for my 12 week functional test and then into my OS the next day for a check-up. My plan is to go to PT through the end of the year and then work on my own until the 6 month mark when my OS likes to have another functional test/follow up done. But we’ll also find out if “my plan” matches up with what my OS has planned. For all the time and money I’ve put into getting my knee fixed, I’d rather get it done right than decide my way is “good enough”
Title: Re: Allyd's MPFL + Lateral Lengthening - 9/23/11
Post by: allyd on December 13, 2011, 11:12:56 PM
11.5 Weeks Post Op

Yesterday, I had a functional test with my PT - which went great. My surgical leg is about 80-90% of my non-surgical leg according to the test. Not sure I completely buy into that, but as my OS said "it's meant to test functionality, not endurance..." Overall, my PT is thrilled with where I am at and is ready to start me on the path of running, jumping, lateral movements, etc. That is if I get the ok from my OS.

Today, I saw my OS, she wasnt as impressed as my PT. Now she's happy with my progress, but in terms of functionality, while the numbers dont lie - she feels there is room for improvement on my non-surgical leg, and thus even more improvement on my surgical leg. When I asked if we could start with running and jumping stuff... she deflected a little and said she wanted to talk to my PT about that before ok'ing. I pushed a little, and indicated my PT felt I was ready, but that we couldn't do it until the Dr cleared it. My OS just reinforced with me that it would probably be fine, but she just wanted to make sure she and my PT were on the same page. When it came down to it, when I got my new PT orders, it said "start running, etc if okay with PT" So, my next PT appointment should be interesting to see if they actually talked and what they decided.

Overall, we all agree that I only need to go to PT through the end of the year. I'll then work at it independently over the next few months, return to PT for another functional test in April, and also back to the OS.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: LKnees on December 15, 2011, 10:28:10 AM
Sounds like you're doing great.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on December 15, 2011, 05:11:46 PM
Thanks Lisa – I really am doing great. It’s a long road, and I know I have a lot of work ahead of me yet, so just need to stay motivated! I’ve found keeping  a good attitude about things helps a lot – focusing on the “good” things of my recovery rather than the nagging things that still bother me. Hope you’re haning in there while you await your impending surgery!

My favorite “good” thing over the last couple of weeks is how I amazingly can “jog” down a flight of stairs and how stable my knee feels when doing so. Before surgery, this was a frightening experience when I was in a hurry… just crossed my fingers everything would stay in place – Now, I take the stairs just because it’s a great reminder of what I can do, not what I cannot. This far outweighs the daily aches and pains that linger at times.

Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: krunzer on December 17, 2011, 08:38:09 PM
It sounds like what you had done is almost the same as what I just had done.  I am 15 days post op right now with a LR and 'patella stabilization'.  However there are a few differences.  I cannot bend my leg for 6 weeks.  I am in an immobilizer brace for that amount of time before I can even start thinking of bending it apparently.  I get to see my OS finally on Wednesday for my first post-op appointment, then I will really know what they did to it.  I cannot drive, I am not back at work until Jan. 15 + or - he has written down on my short term disability papers.  I have posted some pictures of my incision and bruising on my post op page. 

Sounds like you are doing  very well.  Being in shape before would definately make it easier to handle the PT and get your strength back quicker.  I however am not in that great of shape!! hahaha......I used to be then I hurt my knee a couple of times in the last 3 years and have never got back to pre-injury shape I was in....oh well I hope this works and I can get going again!

Take care with your healing and I will be in touch again.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on December 18, 2011, 04:27:49 AM
Hey Krunzer, Things do sound similar... IT also seems like every OS beats to thier own drum with Post op protocal. Best to follow thier advice... Not sure how clear I was in my earlier posts, but I too was in an immobilzer for almost 6 weeks, locked straight for 3 weeks - but was able to work ROM during that whole time. Being in shape with good leg strength I believe stopped my quad from shutting down... but it still wasted away, and I now have the long task of getting back in shape. Only the last couple of weeks have I seen some definition in my quad.

Here are some pics. Was kind of fun to dig up and see how far the knee has come in terms of "looks" :) Taken at  about 10 days, 3 weeks, and then just today (12 weeks! yay!)
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on January 23, 2012, 12:35:50 AM
4 Months Post Op

Hey everyone, just wanted to gvie a update on how things are going. Tomorrow marks my 4 month anniversary of surgery, and ironically my birthday. Haven't decided which occasion to celebrate yet! :)

Last time I posted, I was just finishing up with PT. After a little miscommunication between me, my OS, and PT was cleared up, My PT got me on a good track to hopefully be cleared to return to sport when I go back to see my OS in April. Right now, I'm working on re-conditioning my knee to impact via jogging, and some controlled jumping exercises... Along with all the continued standard strength, balance and core work. I'm up to a 20 min jog/walk routine (2 min on/3 min off). Keep in mind, I'm not a runner and don't aspire to be - so, my 15min mile is about as good as it's ever gonna get. :)

In the next few weeks I'll start incorporating sprints, and later in february some light lateral movements/conditioninng. Without my PT to keep an eye on me, It's been a challenge to figure out how much I can do, and I've really had to listen to my body - I definitely had some long nights with ice, and had to completely stay out of the gym for a few days, simply because I did more than my knee was ready for. Slow and steady wins the race with these things I have sadly learned to admit.

Overall, the last couple weeks, my knee has really started to feel more normal. Whatever that is. It no longer completely feels like a foreign object. But really, it's less stiff, works more fluidly, and unless I sit in one position to long, I'm not really even conscious of it too much. When I'm in the gym and have it warmed up, it feels great! Can't wait for when it feels that way when I crawl out of bed in the morning... okay, maybe i'm just dreaming there. Additionally, there are the things that are already BETTER than pre-surgery. I am ultimately pain free, (thank you lateral lengthening) and willingly take stairs to experience both the painless journey up, and the stable journey down (thank you MPFLr). I also no longer stare at the 10ft of ground in front of me as I walk. It's amazing to see the world out in front of you as you walk through it.

It's not perfect yet, but for the first time since surgery, I 100% believe that it will actually be stronger and better in time. I'm so thankful to have found my OS, as she put together the perfect surgical plan for my knee and it's working out great. 
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: krunzer on January 23, 2012, 12:49:05 AM
It seems like such a long time to get thru...the 4 month mark.  Happy Birthday tomorrow!!! 

I get to go to see my OS this Wednesday and will hopefully be cleared to go back to work.  I am a little excited about that.....I kind of miss my job! 

Glad to see you are making great progress.  It is something to look forward to in the future.  I can't imagine myself at your level in another two months.  I just started PT and I have an ROM of about 70 degrees, but it seems like it is going to take forever!! Though I really think I get more ROM everyday.  My VMO has virtually disappeared.  I am doing squats and mini one-legged squats and after about 5 my leg swells up like crazy again then I have a hard time 'normal walking'.....oh hell I am not even close to 'normal walking'. 

I hope you have a fantastic B-day tomorrow!  Celebrate that first, you will have the rest of your life to celebrate your knee!

Birthday wishes your way!
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on January 23, 2012, 03:13:48 AM
yes, 4 months seems like an eternity. Hang in there, as you start feeling stronger things will progres quickly. I've been lucky that I havent had any setbacks really. At two months, there is no way I would have imagined I'd be running at this point. Let's face it, running scared me pre-surgery... With every step forward, I could feel the instability in the knee and prayed it would all hold together as I finished my stride. So, look forward to a lot of progress the next couple of months!

ah yes, the normal walking... I honestly feel violated whenever I walked into my PT or OS's office. Always watching how we walk, I'm thinking "my face is up here!" It's like a guy that can't seem to not look at your chest. My fav once though was when my PT asked "why are you walking like that?" Me: "uhhh, cause i'm lazy" she just looked at me, smiled, shook her head and said "stop it"
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: LKnees on January 23, 2012, 08:08:55 PM
Happy birthday. I think a stable knee is a pretty good gift!
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on February 17, 2012, 06:13:50 PM
Well… the setback was bound to hit. This past weekend, I rolled over in my sleep and there was some subluxation going on. Unfortunately, I think it went medially, and not laterally. Although, I’m not certain as I was mostly asleep… was wide awake in an instant though. So, I’m just guessing based on symptoms, and the direction/motion *I think* I rolled. Lol. All I know for sure is something shifted fairly prominently.

It’s left me with a flared up knee and something just not feeling right about it – more so on the lateral side, kind of just seems like it has a mind of its own again (I still have some numbness in this area from the incisions, so I don’t think that’s helping)  I emailed my PT… Thankfully she’s honest w/ no BS. She agrees it’s a fluke event… although not ideal, and I just need to give it time, ice, rest, etc. and slowly return to my prior activity level. If it persists or I hit a wall to go in and see her or the doc to further assess.

Just disheartening, as at 5 months post-op: everything was going perfect, feeling great, and working EXACTLY like the doc said it would – I am struggling to understand why this happened, and slightly concerned I undid some of the surgeons work. But by nature, I also always assume the worst. Hopefully I’ll see some improvement over the next week, otherwise – I suppose I’ll bite the bullet and go back and see my PT.

Just venting a bit I suppose.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: LKnees on February 17, 2012, 08:14:09 PM
Sorry to hear about your setback. Do you have any trochlear dysplasia or shallow grooves? That could explain subluxing. I don't think you could have done damage just by rolling over. Maybe you can call your doctor just to ease your mind.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: krunzer on February 17, 2012, 08:22:52 PM
Ohhh, I hope you get better soon!  You were doing so well.  I think setbacks are bound to happen but hopefully all is well.  Keep icing and heating and try to keep some ROM going and I really hope you will feel better soon.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on February 17, 2012, 11:22:25 PM
Thanks for the encouragement. Something about it just doesn't seem right.... But, The rational side of me says Its just a little flared up and will work itself out. Patience has never been my strong point - I swear, someone should tie me to a couch, as when my knee bothers me, I do more rehab than I would normally - Just to check the knee out... to see if its working yet! lol. great plan right?! I'm forcing myself to stay home and out of the gym for the weekend, so hopefully this will help.

Lisa, yes - trochlear dysplasia was mentioned at my last appt. I already checked with my PT to ease my mind. It didn't help. lol :)  And knowing my PT, my email ended up in the inbox of my doctor. At this point, I'm due back to my OS and PT in about 6 weeks... so if nothing else, I'll get answers then.

Krunzer - thankfully ROM isn't an issue anymore for me. But am headed down to my apt buildings hot tub for a little heat therapy right now! My whole leg is cramped up today for some reason.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: Brambledog on February 18, 2012, 01:50:19 PM
Hi Allyd,

I've been following your thread, so just wanted to check in and tell you my fingers are crossed that everything sorts itself out for you, and that this is just a little blip in an otherwise excellent rehab and recovery!

It's so frustrating when things like that happen, particularly in bed!! Should be safe there  ::)... It seems that there's always *something* that goes wrong during a recovery, most resolve themselves without major intervention, and hopefully yours will be the same. You're doing the right thing taking things down a notch for now, and being careful.

All the best,
Brams  ;)
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on February 20, 2012, 03:32:37 AM
It is starting to feel a little better. Not as quickly as I'd like it to, and part of me thinks I'm just overfocused on it. I managed to keep things pretty light over the weekend. Just some basic non-weightbearing work, SLR's and the like. I think I might just make an appointment this week with my PT, just to get me on a good track and over this hump.

The good news in all this? the MPFLr still feels great, stable, and no new aches and pains medially because of this little incident.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: jrue7 on February 21, 2012, 02:33:38 PM
Allyd, I have been following diary.  Sorry to hear the 'setback', but sounds like you are recovering good.  Hoping the best for you!

Just little advice:

- Don't expect another setback ... setbacks don't have to happen
- Undertrain slightly ... overtrain and you will almost certainly get injured

Not to say you are overtraining, but it is something that I had chronic habit of doing to myself, and hard to let go and stick to limits.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on February 21, 2012, 04:35:39 PM
Hey thanks jrue – I completely agree with your advice points, and 90% of the time I’ve learned to work with-in limits. Just run into some problems when I have to take a break or make a drastic change to my routine. Old habits die hard.

Even with rest, I’m still getting some sharp pains with certain motions and I’m a little concerned about and don’t know how to work through. So, I made a PT appointment for tomorrow. My PT and OS are very good at slowing me down.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on February 23, 2012, 01:08:50 AM
Just had to keep things interesting... after meeting with my PT and emailing my OS. I have a couple of different theories going on with what is happening. Neither one of them think I'm crazy... So that's good I guess.

MY PT appt at Noon: She did a full eval, and in unrelated breaking news... She thinks I may have a small meniscus tear. yup. I can't wrap my head around this... as it just doesn't add up. But... who knows. Gonna skip all the details, but her reasoning and exam do lead to some truth on this. Her main concern regardless of her assesment is the inflammation I am getting with any type of activity.

Email from my OS (hit my inbox while at PT): With the subluxation, I probably scraped or compressed the cartilage damage I have underneath my Patella. If pain doesn't lessen, to go back and see her in a couple weeks. Suggested a cortisone shot... not crazy about that, or what the thinking behind that is as she didn't give an expound on the topic.

Forwarded OS email to PT so she could wrap it all together for the report to OS: My PT is a waffler! lol. she replied saying she completely agrees with my OS as she didn't realize I had a cartilage defect, and that very likely could be the explanation to some and maybe all of my problems. But could still be the meniscus tear too. Said I should stick w the plan discussed.

My thoughts: I can more easily wrap my head around what my OS is saying, although the cartilage damage isn't that bad. Time will tell.

The Plan: Rest, Ice, NSAIDS. No weight bearing exercise - all mat work, so SLR's, Clam shells, etc. See how it responds. PT says ultimately I need to get back into the OS for an eval and should see if I can move my appointment up. My OS is a scheduling nightmare, so easier said than done. PT assured me that once my OS gets the report, if she wants me in there, they'll make it happen.

That ended up being a longer post than I thought it would be... But that was my day!
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: LKnees on February 23, 2012, 07:18:37 AM
That's interesting, but maybe a little confusing. Did either one of them have any idea why it might have subluxed?
Definitely a good idea to rest and take it easy for now.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on February 23, 2012, 06:13:29 PM
Interesting, Confusing - yes. But one was able to do a physical exam, while the other was assessing based on an email description. My gut feeling? There is probably some truth to both. I’m still able to go about my daily life just fine – so things could be much worse. We’ll see how it plays out.

In terms of the sublux, neither seems concerned with – Didn’t really ask my PT “why”, but stability checked out with firm endpoints, medially/laterally. OS addressed with: Doubt if it truly went OUT medially, but yes it can shift medially when one rolls over in bed. Usually not a problem over time. I will probably ask more questions when I see my OS next.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on February 28, 2012, 01:23:10 AM
Quick update: As of this morning, I have a phone call in to my OS's office to try and get an appointment in the next couple of weeks. After being transfered three times, I finally got dumped into the vmail of my OS's nurse. sigh. Havent heard back yet. I suspect I'll be calling back tomorrow. And I even further suspect I'll be waiting until April 10th when my next appointment is.

Things have started to feel better w complete rest, the sharp pain I was having around the kneecap has gone away. But there is still something unsettling the knee yet, and I can't put my finger on it - so, I defnitely think I just need my OS to take a look before I try any thing more.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: Brambledog on February 28, 2012, 01:41:47 PM
Hi Allyd,

Good luck with your OS and that appointment. If you keep calling and asking, they should find you a gap before April. You know your knee, and if it feels like something is wrong, it's not asking too much to get it checked out quickly. You've worked hard at your rehab, and your OS should respect your concerns.

Hope you hear soon, and that everything is ok in that knee.

Brams  ;)
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on February 28, 2012, 04:18:30 PM
Thanks Brams... In an ideal world, you are completely right. But my doc is always extremely booked, and the short term flexibility in her schedule is pretty much under lock and key. So... we'll just see what happens.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: Brambledog on February 28, 2012, 06:34:29 PM
I know! It's never as straightforward as it should be.  ::)

Will keep my fingers crossed you get a response soon. After all, she's your surgeon, so surely she is interested in the results of her work!

All the best,

Brams  ;)
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: LKnees on February 28, 2012, 10:24:28 PM
People cancel appointments all the time. If you live nearby your OS ask them to call you if and when an appt opens up. Sometimes it's nice to hear a little reassurance!
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on February 29, 2012, 03:13:47 AM
thanks guys. Lack of communication is quite possibly my biggest pet peeve in life. I live by the 24 hour rule. Even if its to say "I'm working on it" or whatever the situation is. So, for those counting, I've called 4 times, left two vmails, one email. We'll see what tomorrow holds.

Lisa, I've been checking for cancellations and they know to call me. We had some bad weather moving in today, and I was secretly hoping there'd be some today - no luck! lol
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on February 29, 2012, 03:16:24 PM
Success! I think I got someone in trouble too… haha. Is it bad when the first person tor FINALLY respond to me (email)with some simple communication is my OS? But, also just got a call from her nurse (she didn’t seem too happy). They got me in next Tuesday… Now I secretly just hope things don't feel better before then – I’d feel a little stupid then. 

Sorry for my rants on getting an appointment – I easily get soooo frustrated with bad customer service.   
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: Brambledog on February 29, 2012, 03:49:18 PM
Yay! Never underestimate pester power - sometimes you just have to do it.

Well done. Hope the appointment is positive and they can tell you what's going on - hopefully all is good in there and they can reassure you.

Know what you mean about hoping your knee doesn't decide to have a really good patch just for that....frustrating!

Brams  ;)
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on March 06, 2012, 09:48:01 PM
Saw my OS today for my last minute appt/de facto 6 month check up.

- Medial sublux probably wasn’t (or much of one) – more likely I felt/pulled some sutures apart from her lateral lengthening – not a concern, but explains symptoms/event. Will heal up.
- Everything is stable
- For some reason (cartilage wear, overstressed from activity level… etc), this event triggered something, and my knee is angry, inflamed and not settling down well… 
- Gave me three options: continue as is… rx strength NSAIDS… or cortisone. Advised the cortisone, ideal situation for
- Dismissed the meniscus immediately. How did she say it? “why look for a horse when you’re staring at a zebra?” 

We did the cortisone. That ‘little’ shot is highly uncomfortable! Nothing like the doc telling you to “relax” your leg when she has a needle jammed in it! I’m like “right, ok… easier said” - Ok to start biking right away, slowly reincorporate things, but to stay away from impact for the time being. I’m to update her on how I am doing, but as of now don’t need to go back in until my 1 yr mark. So, that’s a fairly telling sign to me she feels things will clear up.

Overall, good appointment… informative… reassuring… and encouraging. It’s much easier to deal with when I have an understanding, and my OS definitely provided that. And the Novocain at the very least has things feeling much better at this moment. Hopefully this allows me to get things going back in the right direction.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: Brambledog on March 06, 2012, 10:01:03 PM
Phew. Thank goodness for that.

I'm really glad it wasn't anything awful and that you have the go ahead to cautiously advance again, and that your OS thinks all is basically well in the knee. Would be nice to know what the 'something' is that happened to set off the inflammation etc, but as long as its nothing serious, I bet you are relieved with the whole thing overall!

Ah the joy of the shot in the knee.... Not the time to be told to relax really! When I had my first one, the OS and nurse were getting all the sterilizing stuff ready and positioning my knee, and then the nurse came round to the side and held my hand!!! That rang a few alarm bells! Lol. I had to have sample fluid drawn, then the corticosteroid shot, so that needle was in there for what seemed like a long time!! Only when it was over did I realise I had been super-clenching my buttocks the whole time!  :o  ;D

Glad the pain shot is giving you a quiet evening....

Brams  ;)
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on March 07, 2012, 01:20:54 AM
Definitely relieved... still some unanswered questions. I think my OS intentionally left them unanswered. Which is fine. I have better understanding of what happened, and the ensuing reaction/symptoms. Which is what I needed. We did talk at length about what that "something" is. Sparing details, what I took away from it is a combination of: surgery, to much impact activity, known cartilage wear and then the eventful wrong turn in bed. That's my cliff notes version.

Brams - Your experience sounds a little worse! Thankfully they didn't have to draw any fluid... But yeah... definitely don't want to hear from my PT or anyone that I haven't been working my glutes! They were clenched nice and tight! lol.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: LKnees on March 07, 2012, 04:14:52 AM
Glad the visit went well. Here's hoping everything goes smoothly now.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on March 09, 2012, 06:54:17 PM
The cortisone has really helped I think, getting better each day as the soreness from the injection itself wears off. I think this was the right choice for me - definitely some healing and re-strengthening that needs to happen now, but the decrease in swelling has vastly improved everything. SO, back to strength work it is, just starting small… last night: bike 15 min, leg press, and mat work. Probably going to stick to a simple routine like this for a few weeks, and just slowly increasing. As long as I don't go crazy and get ahead of myself - I'm optimistic things will be sorted out by the time the cortisone "wears off"
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on March 17, 2012, 02:32:42 AM
Well... I've had an interesting week. Knee rehab has officially been sidelined for at least a month. I decided it would be fun to have surgery to remove my gall bladder. Great idea? right? blah. ER wednesday night, surgery Thursday, and now on Friday home and resting fairly comfortably on the couch.

Well, I can't lift anything over 35 lbs for a month, and virtually no core work with this. I will be able to bike, walk, etc. once I'm feeling up to it, so hopefully I can maintain strength. I'm a little concerned at how all this will affect my knee. But it clearly is more important to take care of myself on a whole than worry about losing some strength in my knee. I will probably email my OS when I'm feeling a little better to update her on my new "setback" and see if she has any ideas on what I can do to help maintain. I'm guessing It's one of those things I simply need to wait out.

On another note - the cortisone had seemingly been working like a charm. Now it seems pointless, and I could have just left it as is to rest up and settle down on its own. Such is life though, always throwing curve balls.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: LKnees on March 17, 2012, 07:46:08 AM
 Sorry to hear that ally. Your overall health definitely comes first so I wouldn't really worry about your knee right now.
Take it easy!
Come to think of it, it's been over a year since I've lifted over 35 lbs because of my knees. Relaxing for a month isn't so bad in the long run.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: Brambledog on March 17, 2012, 05:46:12 PM
Hi Allyd,

Sorry to hear about your emergency surgery - I had my gall bladder removed a few years ago and you will feel a bit washed out for a while... Just take it easy, keep doing your stretches, quad clenches etc and add stuff bit by bit when you feel able to.

Get well soon!!! There's always something else to deal with when you already have enough on your plate... ::)

Brams  ;)
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on March 29, 2012, 12:11:26 AM
THanks for the kind words!

I'm beginning to come out of my post surgery hibernation. Been back at work for a week, and am finally getting my energy back. Which means its time for a  little knee maintenance. I'm starting to get back on the bike for about 10-15minutes, no resistance. Few more weeks until I can work on strength/core, but I'm okay with that as I think I need the break and/or something to slow me down. Because... My knee is feeling better and more "normal" - Amazing what a little rest will do for the healing process. [email protected] that woman for being right. Every. Time. Someday, I hope to prove my OS wrong on something... just so I can be right. I have issues, I know.

I do pose the question... If my general surgeon said it was okay to jog, does that overrule my ortho surgeon? okay, maybe the general didn't know the ortho told me not to. lol... Just looking for a way to work the system.  ;)
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on April 24, 2012, 01:01:16 AM
7 Months Post Op

Just realized another month has passed. My Knee has definitely settled down since the February flare up and ensuing cortisone. I'm just amazed at how much strength I've lost. But I guess you sit around on your butt for two months and it should be expected. I started back at PT last week - given everything that happened, my OS/PT thought this was the best course.

I'm definitely further back than I even thought - it took about 2secs for my PT to proclaim "you are NOT allowed to run or jump". I know it's pretty weak as it's very shaky, but I do think PT's are more conservative than what my knee often feels like. I think it could handle more than she is letting me do. But it is what it is. She thinks it will come back fairly quickly as I have a good base strength. Goal right now is a volleyball tourney at the end of July - if for nothing else than to start breaking down some mental walls and apprehension I've constructed for my knee. I'm gonna see my PT every couple weeks to make sure we can work towards this. Okay, lets be real they don't trust me on my own - I think they've figured out I might, just might push the boundaries. In my PT's words... "i know you like to work independantly, BUT... I think you should keep coming in... that way I can monitor you"

Dissapointed in that we are rolling into summer and I had hoped to be back in the normal swing of things for my knee in terms of activity. (i'm tired of modifying summer fun because of my knee) But had it not been for other extenuating health issues, I wouldn't be as far behind. So given everything, I'm truly just happy that it feels better and is back to "improving" each day. SO the knee is good, and any doubt I had about it a couple months ago has passed. Time heals, and am excited to get full use of a stable knee once I get my strength up to speed.

Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: krunzer on April 24, 2012, 07:43:58 PM
I have the same thing with my PT.  I just started doing some walk/running (I call it that).  My first walk/run out I did about 50/50 and it took me about 20 mins to do our neighborhood.  Apparently that was too much, I was told to slow down a bit.  I was also told, Good Mechanics outweigh sloppiness but longer.  I too play Vball but I will be looking into that a little farther into the fall.  I am going to start biking and running again after this week is over.  It's inventory time here and its a nightmare!!  Take Care Allyd
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on April 28, 2012, 03:29:35 PM
Hey Krunzer - it sounds like things are going well for you. I get the PT theory of it's better to go slow and progress than to fast and set yourself back, but especially when I WAS doing all the fun stuff, to now tell me I can't. it's simply frustrating - especially when more of it has to do with non-knee related issues. fml! lol. So yes, i'm officially jealous of you running/walking!
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on May 31, 2012, 08:46:50 PM
Figured it was time for a little update. I’m a little over 8 months post-op… which seems like forever. And in the last week or so, I’ve really tried to re-focus and tell myself all the good things this surgery has done. My knee is stable, less pain, and I am by far less cautious about how I move or watching where I walk. I tend to forget that and complain about the stiffness, weakness and inability to use it the way I want to at this point.

Sticking with PT appts every couple weeks and am starting to progress back into return to sport exercises (jumping/jogging/etc)  As long I stay focused, I’m on track for a vball tourney in 4 weeks. That is if I can mentally wrap my mind around it. I’ve run some athletic experiments. I’ll simply say - making progress going forward I think is going to be more mental than physical. If I can get past the mental block(s) I think my muscle memory will help me turn the corner once and for all.

While my knee is still a consideration in most events – I can say it’s not holding me back from my life. In the last few weeks, I’ve mowed some lawn, did some tourist-y walking things in Milwaukee, and have spent many days planting flowers and stuff. Life happens, and I’m  happy to see my knee hold up well afterwards.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: krunzer on June 01, 2012, 08:12:01 PM
Feels good doesn't it?  I am glad you are progressing so well.  How do you find kneeling on your knee?  To me it still seems really weird and painful (the skin not the actual joint) as well as it is still numb.  I planted my garden a couple weekends ago and did it all standing up, my back was sore afterwards. 
Glad to hear you are on track for a vball tourney!  I miss Vball but I am definately not ready for the cutting and jumping that it requires at the moment.  I have to get out and start running again!  I am six months post op now but seem to be a little farther behind than you.  But I know that I have not been near as dedicated and some really crappy stuff happened in the past couple of months. 
I too understand that your knee is a consideration in most things.  We went on some short hikes when we went for holidays just this past week and I did a 4KM walk for MS which flared up my knee quite a bit because of the hills in the trails we were walking.  And I definately understand the mental hurdles a person has to go through in order to get their mind around their body working 'properly'.  It takes a lot of mental preparedness to make yourself do something that you never thought you could or have not done in what seems like forever.  Keep pushing through those and you will soon be doing it without even thinking about it!
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on June 02, 2012, 03:43:21 AM
I pretty much avoid actual kneeling. I wouldn't say it hurts... It's just numb yet and I don't like that I can't feel it against the ground. To weird and uncontrolled. Ovrall the numbness I have left doesn't really bother me on a whole.

Great Job on the 4K Krunzer. My goal this summer was to run a 5k (even though I HATE running, I put it on my bucket list when I decided to get my crap together fitness wise a couple years ago). I'm a little behind on that goal thanks to my last few interesting months - About the time you think you have everything planned out life throws you curveballs. So I'll settle for a little Vball - defnitely my favorite summer activity. I know I'm not gonna be a 100% this year, but just want to get out there for a few matches to gain some confidence. We'll both get there, just have to keep working at it.

Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: Lottiefox on June 02, 2012, 08:22:40 AM
Good news and great to read that you've been doing things like a "normal" person! Isn't it great when you forget about the operated-on body part and get stuck into life? Sounds like you're getting there...I suspect the 5k won't be an issue next summer!

Take care

Lottie x
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on June 19, 2012, 01:06:07 AM
Today was a good day! My PT agreed that I'm ready to try and ease back into some volleyball. I have a 'friendly' tournament this weekend that I'm going try and get some reps in. We talked about simply considering it a practice environment and making it safe... start by warming up with the team, and see how I can move around the court, how it feels and maybe just playing in a couple of matches. Either way, I'm excited and a little scared all at once. Will be an interesting weekend!

The last couple of weeks my knee has been feeling great, and I can feel some of the power in my leg starting to return - which eases my worries about getting back into sports. While the strength was obviously returning, I lacked the power and drive in my legs... But it's getting there.

On another funny note, I sarcastically asked if I was yet approved to play volleyball AND drink at the same time... lol. She just laughed at me.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: Chellie1992 on June 19, 2012, 06:05:20 AM
Good luck and have fun at your volleyball tournament this weekend! :)  I can't wait until I can get back to playing pickup soccer and riding horses.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: Brambledog on June 19, 2012, 01:27:04 PM
Wow, how great! Hope you have a fab time and win a couple.... ;D

Brams  ;)
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: krunzer on June 19, 2012, 02:11:06 PM
Take it easy on the diving!!!  What position do you play?  Good luck with it anyways and have fun!
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on June 19, 2012, 02:20:12 PM
Diving!? Ha… yeah, I don’t think so. ;D Thanks for all the support everyone – I’ll post again next week with how everything went. I have high hopes! Lol.

I generally play co-ed, so that automatically makes girls setters. (and to be honest, I couldn’t tell you what all the positions are anyways! I’ve really only played rec-league in my adult years. I was a basketball junkie as a kid and through high school)
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on June 25, 2012, 07:23:03 PM
Well, I’ve officially hit the 9 month mark. It DOES NOT seem like it’s been that long!

Weekend Update:
Volleyball I would say went fairly well. I’m still standing on two feet with no major ill effects to my knee. The whole experience was a little scary. I don’t think I’ve ever been so nervous stepping onto a field or court of any sport. There’s a lot of mental barriers to break down, so I’m really glad I got out there.

It held up well, but the down time in between games was starting to get to it as the day went on. Warm up, cool down… repeat = no good. I didn’t get any pain really, but it was just stressed and tiring out by the end of the day. The level of play was definitely not up to standard, but I expect it to improve as I regain confidence both mentally and physically. Now, back to strength & endurance training for the next tourney in 1 month!

Overall Update:
It will be interesting to take my feed back into my PT in a couple weeks. I’m not sure there is much more to be done at PT, I think we just need to fit in a functional test my OS wants and I’ll be off on my own again. My knee has ‘healed’  and strength is getting there. I have a few things that are lingering and a bit unexplained. (some lateral tightness, and it clicks/catches a bit on quad extension)

I predict a bit of a ‘come to Jesus’ moment with my OS at my 1 yr follow-up. I mostly think that it’s a post-surgical knee and it’s never going to be perfect. I just need my OS to clearly explain to me what the new normal is, accept it, and run with it. Because right now, I struggle to understand if some of my lingering problems are ‘normal’ or if they should be addressed. And I would say they nag at me more than they affect my activities or rehab. Ergo, that right there is probably my answer on whether it needs to be addressed.

All Indications and common standards also tell me that a year from now a lot of the lingering effects will have lessened as well. The long term patience for these things is more important than I ever could have imagined. Unfortunately, I’m not a patient person.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: krunzer on June 26, 2012, 01:33:49 AM
I laughed at the 'new normal' for your knee.  I too have been having the same problems/revelations.  I was told the clicking on extension will probably never go away.  As long as it does not cause any pain you are good to go.  Since the cartilage on the back side of your kneecap is now running in a new spot the wear  from where it was runninng before is different and therefore it is going to ulitimately feel different.  I have asked my PT a million questions and I think he is getting sick of me asking 'is this normal'???  He keeps saying, this will probably be your new normal.  I have some lateral tightness also and I am told it is my IT band and whenever I go get a massage he always massages it and it feels 10 times better afterwards.  In time it will loosen up, or at least mine has!  Right now my knee seems to be 'binding' on the lateral side between the joint or at least it feels that way.  I give it a good stretch and it usually loosens up, it never completely locks on me. 

I am not a patient person either!!  When I want to work out I want to work out 5 days a a row.....or else I will usually give up on the workout program and I want results now.  I keep being told to slow down and listen to your knee.  Oh and ice......I don't have time for ice!!  Well yes I do but you know what I mean.

I am glad your vball went well!!  You are a tough person to take on that type of sport right now.  I could not even imagine setting foot on a vball court at the moment.  I would be, hit the ball directly to me cause if it isn't perfect I will probably not get it!!!  That or I would play 'corner'.  LOL. 

Glad to see you are progressing so well mentally and physically.  Some things are so tough to get over mentally!  Take care and keep up the good work!
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on June 26, 2012, 02:55:22 AM
yup, you're descriptions of the lateral tightness sound about the same. As does the explanation, treatment from my PT. We always do some manual therapy and it really helps. More so than the IT band my PT has explained that my quad is still somewhat imbalanced, and i'm getting stronger/tighter contraction laterally. It also generally loosens up some when I work out and has very slowly been getting better. But, alas i'm impatient and want it gone yesterday!

I'm also a legendary question asker with my PT! haha. She handles them well though. And yes, the volleyball pretty much needed to be hit right to me... and back row was easier than front. Gotta start somewhere. You'll get there too!  Tough person? maybe... or possibly just stupid. :) haha.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: nwc07 on July 03, 2012, 04:23:37 AM
I have found a very useful tool which has helped reduce lateral tightness.  It is called The Stick.  I do not know if I can include a link but it is sold in most runner's stores and on Amazon.  It is similar to a foam roller but easier to use and gives much better results.  I noticed a difference after one use!
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: Tiggs1986 on July 05, 2012, 07:29:26 PM
Glad volleyball went well Allyd! That gives my hope/confidence that I'll be snowboarding (albet cautiously) this coming season.  I've also noticed small clicks with my knee aswell but nothing like it was before surgery from what my PT has mentioned it's more loud clicks and painful ones that we gotta watch out for. Hope everything continues getting better and better!
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on July 05, 2012, 08:36:28 PM
Thanks for the support Tiggs. All reports from friends/family I’ve talked to that have had Ortho surgery and returned to sport is that YR1 is cautious levels, and real progress/normalcy is made in YR2. Just hold onto your goal and work towards it. My OS and PT have made me a huge believer in goals. As working towards something is a great motivator to put the work in everyday for your knee.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on August 09, 2012, 02:42:43 AM
Just shy of 11 months post-op. Yikes. Time flies when you're having... fun? Officially released from PT a few weeks ago. Passed my return to sport functional test easily. And I go back for my 1 year post op on Sept 25th. Which is NOT that far away. Time to get out my pencil and paper and figure out my concerns/questions.

Played in a 2-day vball tourney couple weeks back. Went great... but my knee was getting tired/stressed by the end of day two. BUT! I guess after 12 games I should expect that?! I'll call that a success. Mental confidence is another topic, but I'm certain enough reps will work that out too.

Lateral tightness/stiffness... At one of my last PT appts we looked at my gate. I haven't been rolling over onto the ball of my foot well (I don't limp or anything, just not following through with the step, lifting my leg up rather than pushing off) It's extremely subtle, but enough to throw the quads out of whack. So, as I consciously walk/run correctly this has been improving and balancing out as well!

So apparently, I'm running out of things to complain about?
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: krunzer on August 10, 2012, 12:25:46 AM
Sounds like you are doing fantastic and I can only hope to be there by 11 months post op (I am at 8 and it seems like I have a long way to go). 

Good to hear that you are back to all of the sports.  Sounds like the cutting involved in vball is working out for you as you gain more confidence. 

Yes, make sure to write down every question you want answered.  You always get there and forget everything you wanted to ask. 

Good to hear that you have finished PT!  That in itself is a milestone.

Hope you keep making progress, good luck in the future.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on September 05, 2012, 06:37:07 PM
I found this today, and just had to post it here. Made me laugh and think of the boards here.

Otherwise, things are good, no complaints. Have my 1 year post op appointment in a couple weeks. I wish I would have more time to spend/focus in the gym before then. But have been crazy busy with my brother's wedding, and other life events. The days seem to just get sucked up in so many activities lately.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: Tiggs1986 on September 13, 2012, 04:10:41 AM
so glad everything's looking up for you allyd! good luck at your appt!
Title: Re: Allyd's MPFL + Lateral Lengthening - 9/23/11
Post by: allyd on September 26, 2012, 12:02:51 AM
Wow can't believe I'm writing about my 1 year post-op.

I had my follow up with my OS - which can be an adventure. But today it mostly wasn't. She felt I was doing great. we discussed a few of my concerns. mostly about the residual tightness... and some of the discomfort I get with increased activity. She was pretty straight with me in addressing. I've had some serious injuries, and some cartilage damage, as well as major surgery. It's not all going to go away, and given all that, stiffness/tightness at this stage is generally the biggest complaint of patients. Realism. and i knew it all to be true, It actually just makes me feel better to know I am where I should be with it. She really just encouraged me to continue with and find a routine/activity level that my knee can handle and see what happens going forward. She really didn't tell me anything my PT already hadn't, but for some reason it's more believable from the doctor?

She also said some of the tightness/pull i feel at times is simply because the grafts they use are not the ideal strength.... they are actually to strong, and hopefully someday they will find something of more appropriate strength to use... blah,blah,blah smart stuff... Me thinking: that's great, but I got the current model, what's MY solution for it? lol. It is what it is, but like she said, the long term results have been good, and they aren't seeing any decline.

In her exam, she said the knee is as quiet as it ever has been. She seemed really happy with that. We discussed confidence and stability, I shared with her how stable it feels in that I'm slowly getting back into sports, daily life is less cautious, etc. She gave me a huge smile and said - I think we can call this a success! I also need to follow up with an email to her, and ask for my KOOS knee score from before and after. Which will be interesting. I'm glad she offered up, because I sort of explained to her that I'm fairly certain things are way better, i've lost all frame of reference, and all I can see/focus on is the problems left behind from surgery. So, thank goodness for research! Love when you can quantify this stuff. I'll try to post my before and after once I receive.

Downside of the appt. - even though we both agreed it is doing good, i still need to go back in another year.  ::) I'm fairly certain this is mostly because I am her lab rat. hmmm... was sort of hoping for the pat on the back, great job, i never want to see you again. Instead I got "we'll see you again at 24 months!"

Overall 1 year impression for anyone crazy enough to follow my story: The surgery did exactly what I asked it to. I'm definitely more active than a pre-surgery, and I feel more confidence will increase my participation in sports even more yet. For anyone considering surgery that's read this far... don't underestimate the road traveled, be realstic in that you will always have a post-op knee. you can reach 100% in strength and stability - but the trade off may be some ongoing discomfort. I'm happy to say mine doesn't hold me back.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: Teacher2Many on September 26, 2012, 02:21:06 AM
Awesome news indeed!  It is hard to see the light at the end of the tunnel when going through those dark moments but in the end, I hope it works out for everyone!

I'm sure when the time comes, my OS will be more than happy to kick me off his caseload and won't even suggest the 24 month visit; been working with him for the last four years with 4 bilateral knee surgeries, one knee and one shoulder surgical date, and all the post-op care from my surgeries in MI-seen him every 4 weeks-4 months for the last 4 years which equals A LOT of visits.  Think we might just have to have a 'hope to never see you again' party when that day rolls around!   ;D
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: Brambledog on September 26, 2012, 09:09:29 AM
Well done Allyd, Im really happy for you and your happy ending  :)

I'm sure the 1yr appointment is just follow-up because you had a few lingering concerns, and she'll just want to see you do the thumbs up when you go back and then kick you out!! ;D

Brams  ;)
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on September 27, 2012, 01:33:48 AM
Thank you both for the kind words. I really do have to say, my newfound knee is pretty awesome. I haven't really even kept up with PT exercises much the last couple months cause life has been so busy, and it's holding up great, if not feeling better. (probably likes the rest!)

And I'm 100% positive the follow up a year from now is for her benefit mostly. I respect her and her process, and what she's trying to do... so I'll jog my way on in there next fall. :) I think we all look forward to the "hope to never see you again" convo. I was getting ready to say my awesome thanks, you've done so much for me speech... instead I think I blurted out "you want to see me again???" "really???" lol. 

It's amazing how much these surgeons begin to mean in our lives. Not seeing them can become a little sad... I still miss seeing my first (not current)OS a little!
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on November 06, 2012, 03:00:42 PM
DREAMERS: Dream about where they want to go.
DOERS: Do what it takes to get there.

Came across that saying today. And I really felt like it applied to my knees. And is great advice for anyone tackling knee issues.

Anyways – got some “numbers” back from my OS. My KOOS survey score improvement is (pre-op to 1yr post-op):
Pain Category – 61 to 89
Symptoms – 39 to 46
Activities of Daily Living – 81 to 94
Sports/rec – 35 to 55
Quality of life – 25 to 56
Overall – 59 to 76

Per my OS - 100 is best, a meaningful improvement is 10 points. Most of her patients score post-op 60-ish to 80-ish. And she thinks my scores look great.
Definitely helps me feel better about where I’ve been and where I am now. I’m a numbers person, so anytime I can quantify something… always good. Still work to be done, and I can easily see where I want to improve my scores for my 2yr follow-up. Of note: I personally don't put a lot of weight in the symptoms category. It’s a ‘general’ knee survey that doesn’t specifically account for something like patellar instability. Which is my main symptom improvement.   
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: Brambledog on November 06, 2012, 06:08:13 PM
Excellent numbers Allyd! Keep aiming high....

Brams  ;)
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on March 27, 2013, 05:33:07 PM
1.5 years post op

Hey everyone – thought I’d post a quick update. I took a nice long break after I saw my OS for my 1 year appointment. Which overall was really great for my knee. After the constant rehab for a year, it really needed a break and it seemed to loosen/relax much of the tightness left in my leg. But after a couple months of sitting on my butt, I could also feel the inactivity getting to my knee as well. I think this was the “healthy balance” my OS encouraged me to find.   ??? SO… That meant I needed to get back to the gym.

I’m to the point where I just live my normal life and do what I want when I want. My gym routine isn’t rehab focused at all, and while I do some strength training yet – it doesn’t consume my workout. I am usually jogging a couple miles a couple times a week with no problems, filling in with biking and the elliptical for more cardio work other days. If I push it too many days in a row, I do get a little swelling in the knee, and that’s when it doesn’t feel the best. But within a day of rest though, it’s usually gone. I have very little pain compared to pre-surgery, and if I’ve been pushing my activity, it’s usually my other knee that is yelling at me it seems. All is right in my world again.  ;D

The great thing the last few months of working out, I’m finally feeling endurance and power come back to my leg which is a huge aid to my confidence.  I accept the fact that my knee is always something I’m going to have to manage to a degree. It is what it is. But it’s a heck of a lot better than what it was and I sure don’t worry about it anymore.

My goal this summer is to run a 5k at some point. I know some ‘runners’ on this board think this is easy peasy. But I’m not a runner, and actually hate it – but it is growing on me. My time isn’t going to be amazing, but I just want the satisfaction of doing it. I’m also looking forward to playing volleyball this summer again. Okay, I’m just looking forward to summer and all the fun activity it holds, I have a lot to look forward to this year. It’s been a long, cold winter here in Minnesota.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: krunzer on March 29, 2013, 02:44:40 PM
Good for you Allyd!  Glad to hear things are going well and you have a good outlook of things to come.  I think it's something all people have to consider after having knee surgery.  It is never going to feel the 'same' again and you have to get used to it and keep doing what you have to.  It took me, I feel, a long time just to figure that one out. 

I am also looking forward to summer activities now!  This summer is going to be different, with hiking and camping and dog shows.  I am excited also to get back into a normal summer routine!  (I still consider it winter here in northern Alberta, we still have at least 2.5 feet of snow in our yard!)

Have fun with the Vball and listen to what your knee is telling you.  Good Luck and Happy Easter!!
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: Lorikeet on April 04, 2013, 06:26:04 PM
You sound like you're doing really well, Allyd! Hope it continues well and good luck with running the 5K. Funnily enough, I just posted a one year update and mentioned the knee swelling and the opposite knee issues too. :)

Hope it starts to warm up soon for you up's autumn here and we just had a 36.3 C (upper 90s F) which is pretty high for April.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: allyd on September 18, 2013, 12:42:10 AM
2 Years Post Op!!!!

Hey all, it felt right to dig this thread up and post an update. And hopefully my final update [knock on invisible cyber wood].

All is well, I mean really good. This summer has felt great to just do what I want when I want. There hasn't been any "well, I don't know if I should" moments. And that was truly my goal in having surgery. And it's great meet goals. I run my 5k earlier this summer. Well my version of "run" - ya know run a little, then walk... repeat until you get to the end. And for anyone wondering - that has nothing to do with my knee, that's my version whether I have a good knee or bad knee. On top of all that, My knee no longer needs constant attention or maintenance. I try not to ignore my strength and conditioning to much, but I'm happy to say that when life gets busy; my knee doesn't fall apart.

I did have my 2 year post op today. My doctor was happy with everything she saw. I didn't really have any complaints, concerns, or questions; so the appointment was pretty short and sweet. This appointment was absolutely more for my doctor than me. And that's fine, she asked her questions, and got the info she needed. She was happy to hear that I really didn't feel limited, that I was active and doing whatever I want.

Last week I had a 2-year functional test with my PT. yup. my long term fear was realized. My surgical knee tested out better than my left one. The good news is I'm doing a great job of ignoring signs such as these. It's hard for my to justify investigation when it hasn't dislocated in 12 years. But the topic seemed to be more interesting to my doctor today after she did her exam. as per usual; they always test both for comparison. On the lateral glide test, she about completely dislocated it; and I don't think either of us were ready for that to happen. ugh, I hate that feeling - I'm no worse for wear, as she was in control the whole time, but I got a kick out of our exchange after:

Dr: Has that one ever dislocated? (kind of a stupid question when we both know you basically JUST made it!!!)
Me: [looking up, down, all around, trying to avoid answering]... yes. That was the first knee to go on me, and has a few times. But, but, but... it's been a really long time since the last, like ten years or so.
Dr: really. Okay. [pauses. clearly thinking what I'm thinking - pretty sure It just happened 5 seconds ago, not 10 years. what to say, what to say...] Good reflexes! You reacted A LOT more on that knee than your other. [as if this is supposed to make us feel better about how stable my surgical knee is]
Me: yeah... I know. If I was smart, I'd be having you look at that knee a lot closer.

I still can't get over the "good reflexes." But I did get a clean bill of knee health.  It felt good to walk out of that office on the same page regarding my progress for once. Everyone was happy with the end result. Just really glad to take the time to pause for the realization that it really is behind me.
Title: Re: Allyd's MPFL + Lateral Lengtheing - 9/23/11
Post by: Aubie on October 19, 2013, 08:59:41 PM
I've been looking through the messages on the boards about successful outcomes of MPFL reconstruction, since I'm at the point of thinking my knee is never going to feel halfway normal again!  So glad to hear your story of feeling great after 2 years and that your surgery knee is stronger than the other!  That seems almost impossible for me to imagine right now, but I'm holding out hope.  ;D  I'm currently at 9 weeks post-op, still attempting to regain full ROM, and the most annoying thing being the inability to even walk normally.  I still have extreme quad atrophy, and am having difficulty using a normal gait pattern, especially bending my knee, rather than keeping it straight (due to being afraid I'll fall on my face!).  I'm soooo slow, and it's getting very annoying.  Both my OS and PT insist that I'll eventually be fine (PT estimates another 2-3 months), and that I just need to be patient.  But after dealing with this since April (dislocation), then surgery in August, I'm quickly losing ALL patience!  I know that it could be so much worse, but it's still very hard to keep myself from having regular pity parties.