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Author Topic: WonkeyDonkey's Open Wedge HTO Diary 07/12/2018  (Read 457 times)

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Offline WonkeyDonkey

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WonkeyDonkey's Open Wedge HTO Diary 07/12/2018
« on: December 13, 2018, 08:28:31 PM »
Here we go again!!   High Tibial Open Wedge Osteotomy Right Leg.

Background
•   have had 2 arthroscopies and an open wedge high tibial osteotomy on left leg
•   Have had pain in right knee and hip since Nov 2017, tried physio and steroid injection in hip
•   New Hospital
•   New consultant (another one featuring on KneeGuru)

Operation Day - Day 1 – Friday 07/12/2018

Arrived at hospital at 10.45am having had breakfast at 6.30am and water until 10.30am when I left home. I was shown to the ward and my bed. I had my obs taken, blood pressure upslightly! I wonder why!!! The physio fitted me with my crutches, showed me how to use them and I had a practice. I was visited by my anaesthetist and was talked through the anaesthetic, this time I was to have a spinal block and sedation. I was a little weary of having the spinal block but opted for it, with plan B being a GA. I also saw my consultant and discussed with him what was being done, he drew an arrow on the right leg. I was first on his list all being well.
I was wheeled down to the theatre and had the spinal block and sedation, I didn't know anymore until I woke up in the recovery room. The difference of the spinal block and a GA was that I didn't have that horrible sick feeling and grogginess. Knee was covered in a big bandage and padding so couldn’t see anything. Wheeled back to the ward and felt reasonably ok, even managed to eat some sandwiches. At this point I was being given paracetamol, and some liquid morphine. Had a visit from my consultant, to be told it had all gone well and that the correction was 6-7 degrees. He would see me again in 6 weeks.

Day 2 – Saturday 08/12/2018

I hardly had any sleep as my obs were being taken every 1 or 2 hours. Think I nodded off between 12am and 2am to be woken up. Struggled to sleep as I normally sleep on my side but had to lie on my back. Knee throbbed.
Today I started on my blood thinning medication this morning, 1 small tablet a day for 2 weeks. I also am taking paracetamol, liquid morphine and ibuprofen. I also started wearing socks to help reduce DVT, have to wear them for some weeks. Lovely!!
Should have been out of hospital today, but after breakfast and using a cryocuff during the morning, I had a visit from the physio, I was got up on my crutches which was a very painful experience and a simple walk along the ward was agony. I am on partial weight bearing for two weeks, then full weight bearing. I was not passed by the physio to go home and she didn’t even get me to do the stairs on my crutches. The pain got worse and I had a bit of a meltdown, cried on the shoulder of the nurse with another nurse drawing up more morphine. The amount of morphine was increased from this moment on.

Day 3 – Sunday 09/12/2018

Slept quite well last night, woke up once for the loo and a dose of morphine and went back to sleep until drug round at 6am.
Just after breakfast the physio came round and got me up and it was my turn to try the stairs today. Too say it hurt is an understatement, I was got up, sat in a wheelchair where she tried bending my leg as it seemed not to bend. I explained that I had had previous problems with the muscles tightening up and staying very tight. She released the muscle by pushing her fingers on it and gentle the pain eased. Unfortunately when it gets really tight it gives me terrible hip pain. Then I was  wheeled to the stairs. Back on crutches, went up 3 small stairs and 2 slightly deeper stairs. My pain levels where sky high. The physio signed me off on going up the stairs but not for the pain control. So back on the ward my meds were reviewed and the paracetamol was changed to Co-Dydramols, these are stronger than paracetamol, which I had been taking before I had my op! I was asked to note down hourly the amount of pain I was in so they could work out my pain relief. A bottle of liquid morphine was also got ready for me to take home, along with Co-Dydramols, Ibuprofen and the anticoagulants. I used the cryocuff on and off all day.

Day 4 – Monday 10/12/2018
 
Had another fairly good night sleep, only waking for the loo and some morphine.
Today I’m going home. I was helped to have a lovely hot shower today, Wow, it felt good!! All clean and dressed I was ready, packed and dosed up with meds, ready to go home. Drive was only about 20 minutes and then I retired to the sofa. My lovely husband waited on me, with drinks, food, cryocuff and anything else I needed. I have my own cryocuff container from previous knee ops and a new sleeve from the hospital. I had filled my freezer with pots of ice to start the process off ready for coming out of hospital. I was tired and kept nodding off during the afternoon. I wrote myself a list of all my medications and when I should take them. I have written down each time I take some as it’s easy to get muddled up and miss an important dose. I struggled up the stairs to go to bed. Why are the stairs you practice on so different to those at home?? I went up on my bottom using my arms to lift myself up. My husband came up with me to help. It was not an easy task.

Day 5 – Tuesday 11/12/2018

Had a fairly good night’s sleep, using the cryocuff and my meds, only woke to more morphine. Lazed in bed during the morning, when I got a phone call from the physio dept., saying I need to go in this week and an appointment had become available today. I explained I only came out of hospital yesterday, but apparently my file was marked urgent, so off to physio I went! Went through what had happened before my op and during my stay in hospital, think they were concerned about my pain and not being able to do the exercises. I managed to bend my leg about 70 degrees at the end of the session. So we went through some exercises and by the time I was home again my knee pain levels were high and I broke down into tears. I ended up taking more morphine and going to bed, with my cryocuff.

Day 6 – Wednesday 12/12/2018

Not a bad night’s sleep, only woke up once for the loo and morphine. Had a lazy day on the bed today, best mate came round so that cheered me up. Took the rest of the day easy and some of the swelling has gone down a little. Still trying to do the physio exercises regularly. Leg bends are better over the side of the bed or toilet than if I try to bend it myself. I close my eyes and breathe slowly and relax, the leg goes with the gravity. I am struggling to bend my knee when walking on my crutches.

Day 7 – Thursday 13/12/2018

Another fairly good night’s sleep. Woke only for morphine and went back to sleep. Changed the beautiful socks, thought it would be harder than it was, managed on my own. Came downstairs and stayed downstairs all day. Stayed awake too! Phoned my doctors surgery to arrange a telephone appointment with my GP for Monday afternoon, it’s mainly to sort out enough medication for the Christmas period and an appointment with the nurse next Friday to change the dressings. All sorted I thought I would phone to arrange Employment Support Allowance. Finally got through after hanging on for over 30 minutes, a few details taken then told my local JobSeekers would call to make an appointment. They did call to tell me I needed to go to their office for an appointment!! Joke, I said I had just had a major operation on my leg, was on crutches and couldn’t get there, so they are calling me back tomorrow. Maybe they will make a home visit. Have been making sure I have taken all my meds roughly on time. Pain is just about under control, but have the possibility to up the morphine dose if required.

Offline WonkeyDonkey

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Re: WonkeyDonkey's Open Wedge HTO Diary 07/12/2018
« Reply #1 on: December 27, 2018, 09:44:51 PM »
Day 8 to 13 Friday 14/12/2018 to Thursday 20/12/2018

Still taking all the pain meds I was given, added Lactalose to combat the side effects of all the tablets. I have had some good days and some not so good days, which I have slept through the day, not being able to keep my eyes open. I have not used my cryocuff quite so much over this week. Some days my calf muscle hurt a lot and felt it needed stretching, which I tried a bit only made my leg hurt more and I couldn’t put my foot flat on the floor. I seem to have got the pain under control now except on Tuesday when I had a session with the physio. I was walking better on my crutches, putting my whole foot down and bending my knee more. I still only got to 70 degrees to start with but got more during the session. The physio asked how I was going up and down the stairs at home, and I had to confess that I was still going up and down on my bottom. So she had me walk up the 4 steps, using one crutch and the hand rail, and down again with one crutch and the hand rail. Managed this ok, but their steps are completely different to mine at home. By the time I got home my leg was hurting big time. I dosed up on some more pain killers which didn’t really do their job as I would have hoped.

Day 14 Friday 21/12/2018

Today I had the dressing changed on my leg. It looked a bit of a mess by the time all the dressings, steri-strips and stitches had been removed. I have to say I was a little upset looking at the swelling, wound and redness. Still the length of wounds, were probably a little larger than I had thought they would be. I have to remember I must not compare with the left leg osteotomy, as they have used something different to my left leg. I had an iodine dressing put on the part that had not healed properly and then all covered with two dressings.

After this my son took me to see my father in the nursing home, I did not sit very comfortably so therefore came home with a sore leg again. Spend the afternoon resting it.

Day 15 to 16 Saturday 22/12/2018 to Sunday 23/12/2018

Had a lazy day Saturday, as my leg still hurt from the day before but eased off in the afternoon. Finished my blood thinning tablets this morning, so that’s one less to remember taking each day. Sunday my daughter picked me up and took me and my son to visit my dad again in his nursing home. We spent a lovely time there but again I paid for it not sitting comfortably when I was there as my leg hurt during the afternoon. I took extra pain relief to ease the pain.

Day 17 – 19 Monday 24/12/2018 –Wednesday 26/12/2018

Had a lovely day with my grandsons (age 2 and 4), opening all their presents, being careful not to get my leg knocked in their excitement. I kept on top of all my pain meds and have felt better in myself today. I feel that my leg and foot are walking better and touching the floor even upon getting up first thing in the morning. I have been doing my physio exercises regularly and trying to bend my knee more each time. I have even managed to do them at 3am in the night when I haven’t been able to sleep. I know and understand the importance of all the physio exercises in order to get the range of movement back in my leg. My husband has had to help me shower, and I had to change the dressing on my leg myself. I’m still wearing socks to reduce DVT’s.

Day 20 Thursday 27/12/2018

Today I had a day where I just could not keep my eyes open for long. I slept all morning on and off. I had taken my pain meds when needed and just nodded back off to sleep. I had tried to read but fell asleep with the book in my hands. I finally got up about 2.15pm. Had a lazy day, walked about a bit, and have not taken 2 of my doses of morphine lunchtime and teatime, pain is still manageable.

Tomorrow I have an appointment with the surgery nurse to change the dressings again. Hopefully they will have healed so that I do not need them dressed and they can dry up in the air. I will start to rub them with Bio Oil when the time comes.

Offline WonkeyDonkey

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Re: WonkeyDonkey's Open Wedge HTO Diary 07/12/2018
« Reply #2 on: January 03, 2019, 09:34:38 PM »
Day 21 Friday 28/12/2018

Today I had an appointment with the surgery nurse. She took the dressings off, cleaned up the wounds and redressed a small area with an iodine pad and dressing. I am to keep the dressing on until Sunday evening, and then it can come off and get the air to it. Can’t wait. Wounds feel tight and I feel the skin needs some moisturizing. Towards the end of the day the skin feels very tender where it has been poked and prodded. I am coming to terms with what the wounds look like and do not find them as shocking as I did. There is still some redness and bruising around the wound area but generally they are definitely improving.

Day 22 Saturday 29/12/2018
 
Today I went out and visited my Dad, but sat awkwardly and the leg got uncomfortable and by the time I got home it was hot and swollen. Rested it during the afternoon and ended up taking extra pain relief to help.

Day 23 Sunday 30/12/2018

Leg is still a bit swollen from yesterday so I took it very easy today, had a lovely shower with my husband’s help getting in and out on crutches. Luckily I have a stool to sit on in the shower so I can rest my leg. Dressing was taken off and it definitely is starting to look better underneath. I managed to come down the stairs on my crutches and not on my bottom so I must be a little more confident now.

Day 24 Monday 31/12/2018

I had a restful morning followed by a physio session in the afternoon. My Physio checked my wounds, and said they were healing nicely and to start massaging them with cream like E45 to break up the scar tissue. I managed to bend my knee 105 degrees, lifted my leg up with no problem, walked fairly well with both crutches but when one was taken away I was a little tentative about it and walked nervously. I was shown again how to go up and down the stairs, although I have been going up on my crutches for a few days now. After asking my physio, I was also shown how to hold both crutches when holding on to a rail coming down the stairs. I was told to carry on on both crutches when outside as I’m only 3 weeks out from a major op, but try using one when indoors. We are going to reassess this in about 3 weeks when I see the physio again. Knee hurt after the physio session so had to take extra pain relief.


Day 25 Tuesday 01/01/2019

Following the physio session yesterday I had a rather easy day today as my leg was still hurting a bit. I’ve kept up with all my pain relief.

Day 26 Wednesday 02/01/2019

Went to visit my Dad again and afterwards I went for a little walk to the local post box which is at the end of my road, and also pottered around the house, by the afternoon my leg was hurting and felt really stiff. It was lovely to be outside for a while. Must try to look at where I am going and not so much at my feet when walking. I got my cryo cuff out and iced it on and off during the evening. I kept on top of my pain relief.

Day 27 Thursday 03/01/2019

Didn’t sleep well last night so am a little tired today but I went out with a friend today for an hour, walking round a craft shop and then walked down to the post box again. Knee is feeling hot and stiff again, so rested it during afternoon and kept up with pain relief. I’m still wearing the socks to stop DVT, but take them off for breaks during the day. I am trying to keep up with the physio exercises, but on occasions I have not done them all, due to pain.

Offline WonkeyDonkey

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Re: WonkeyDonkey's Open Wedge HTO Diary 07/12/2018
« Reply #3 on: January 23, 2019, 04:46:51 PM »
Now 6 ½ weeks Wednesday 23/01/2019

When I look back on the last couple of weeks:
•   I’m sleeping better, and can actually sleep on my side for small amounts of time, then have to go on to my back, which is currently hurting upon turning and straightening the leg. I use a soft pillow between my knees to stop them rubbing together.
•   I have reduced the amount of pain relief I’m taking, no more morphine but still taking
Co-dydramol, although less and Ibuprofen
•   I have a small piece of one the wounds which still has a scab on it so not completely healed. I have 2 scars, the main one is approximately 8cm long and the smaller one is 4cm long. In general both scars are healing well and I rub the area around them with either E45 cream or Avon Tissue Oil twice a day.
•   I can bend my knee more, I can confidently walk around the house using one crutch, I use both crutches when outside or when my leg is getting tired, normally in the late afternoon/early evening.
•   I have been very positive through my recovery, only had a couple of meltdowns, when the pain has got too much but in general keeping the pain under control is my top priority.
•   I have walked to the post box on a number of occasions on my own, although it’s not far away.
•   I can get in and out of the shower on my own, not requiring help to get out, although thanks to my husband for all his help up to this point. I am using a shower stool whilst in the shower so as not to stand for too long or slip in the shower. I prop one crutch up by the shower door.
•   I have managed to walk around the supermarket with my husband on a couple of occasions, realizing that people are just plain ignorant about how hard it can be on crutches, I’ve had people walk out in front of me not looking where they are going, a child pushed a trolley into the arm part of my crutch, with no “Sorry” from either child or parent, and a pushchair pushed into the side of me!! Why aren’t the population more considerate? It puts me off going out, but then there are lovely people who offer you help, their seat, move out of your way, let you go first and generally the “good guys”
•   I find that when using crutches it is easy to look at where you are putting the crutches down and your feet, so will try to concentrate on looking up a little more.
•   I have watched a video on YouTube, about this operation using the Tomofix metal plate, made by my previous surgeon, and found it quite interesting (not if your squeamish) just to see how the operation is done and why bits of me hurt post op. It gives you a better understanding of what goes on.


Today I have been to see the physio, we talked about how I was getting on, and she commented that my walking was much better than when I last saw her. She measured the flex in my knee and it was at 130 degrees with no help. I am very pleased with this; I started at 135 degrees before the operation so not much more to go. Today at physio I tried walking without crutches but it was a little painful, so for the time being I am back on one crutch indoors. I also tried to go up the stairs just holding on to the rails each side and no crutches. I currently use one crutch on the stairs at home. I managed but could feel pain starting to build in my leg, so was told to continue with one crutch. I have lots of lovely exercises to continue with and a couple of new ones to try. I am to try using the bottom stair leading with my operated leg and to do step ups. I can also start to use my exercise bike for about 5 minutes at a time with no resistance.
I have worked hard on my physio exercises and now need to concentrate on strengthening the muscles. This should then help to get me off the crutches and back walking on my own.
I was also told that just because I was doing well, better than my previous osteotomy, I must not overdo it as this can cause strained muscles etc. and more problems, so to take my time with my recovery. Seeing the physio again in 3 weeks.

I can feel that already this operation has worked as the arthritic pain has gone and I only have post-op pain which I am keeping under control. I know it is a long recovery, having done it before, but hopefully it will all be worth it. In about 12 to 18 months the Tomofix plate will come out.

I have an appointment with my Consultant in 2 days’ time, so will up-date after that.

Offline WonkeyDonkey

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Re: WonkeyDonkey's Open Wedge HTO Diary 07/12/2018
« Reply #4 on: February 04, 2019, 07:51:01 PM »
7 – 8½ Weeks 29th Jan 2019

I went to see my consultant last Friday, had x-rays and was told that “at 6-7 weeks patients don’t normally come in smiling” I was having a good day and feeling good about my progress. We discussed how I was doing, looked at the x-rays where we could see the bone starting to fill in the gap and he checked my wound which still has a small scab on. All looking good. I asked a few questions that I was curious about and was given the answers. I am allowed to go swimming but not breaststroke legs. I was also reminded not to overdo it on a good day. I’m seeing my consultant again in May.

Yesterday I went for a walk to the doctor’s surgery and the chemist, a round trip of approximately one mile. I started off fine, concentrated on walking upright and not looking at my feet. I got to the surgery and was starting to feel tired. In hindsight I should have stopped and had a sit down, but didn’t. I then walked a little further to the chemist, texting my husband that I was on my way back. I then started the walk back, feeling a little tired at this point. The further I walked the slower I got, about half way back my knees were hurting, my hands were feeling sore and my self-esteem was dropping. If there had been a seat maybe I would have been okay. I carried on plodding very slowly, steps getting smaller and very uncomfortable back home. Why do I think I am super invincible?? By the time I got home both knees hurt, my hands hurt, I felt tearful and fed up. My recovery just took a nose dive downwards. It took my one and a half hours from the time I left home to the time I got back, a trip I have always taken for granted. Not doing that again in a hurry! I will take to doing smaller distances and building up before I try that again. All dosed up on pain relief, I had an uncomfortable night’s sleep and awoke at 4.20am and struggled to get back to sleep. I’m taking it easy today.

I must learn not to overdo it. Took a few days to get back to the way I was before my stupid walk!!
 
Moving on, I have tried to walk a little each day, although my knee feels quite stiff and tight. The skin feels like it hasn’t any extra to give, even though I massage it every day with either moisturiser or oil. With the snow I haven’t been out for a couple of days but went for a little walk today.

Over the past 10-14 days my knee has been super sensitive and I cannot stand anything resting on it in bed, having to put my leg outside the covers, and even the soft trousers I have been wearing have made it feel strange. I can’t really describe how it feels!

Online Vickster

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Re: WonkeyDonkey's Open Wedge HTO Diary 07/12/2018
« Reply #5 on: February 04, 2019, 07:58:56 PM »
Did you mention the sensations in your leg to the Consultant? If it doesn't improve, you should in case you're developing a complication like CRPS (rather than it being cut nerves starting to come back to life)

Good luck for your ongoing recovery :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
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LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline WonkeyDonkey

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Re: WonkeyDonkey's Open Wedge HTO Diary 07/12/2018
« Reply #6 on: February 04, 2019, 08:20:45 PM »
Thanks Vickster for your suggestion.

I didn't mention it to my consultant as it had only started a couple of days previous to seeing him, and I just thought it was the nerves getting back together. If it carries on I will phone his secretary and get an appointment to see him.

Offline WonkeyDonkey

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Re: WonkeyDonkey's Open Wedge HTO Diary 07/12/2018
« Reply #7 on: February 27, 2019, 09:29:32 PM »
Thanks Vickster - I took your advice and saw my consultant.

Week 9-12

I have repeated the mile walk I had done previously, I went a slightly different way, I struggled a little at the end, but in general I was a little faster and tried to take larger steps and not look at my feet. I must be improving as it wasn’t so painful, although my hands were a little sore from the crutches.

Had an awful week last week, I was due to see my physio this week but due to a very close family bereavement this got cancelled, I was hoping to come off at least one crutch during the session. Since this I have taken a step backwards in all things, my pain relief was very hit and miss when I was taking it, physio exercises missed or not done completely, too much weight bearing, pointless appointment letters from DWP and everything else you can think of.

So a week later I have taken myself in hand and along with positive thinking I am back on track. I phoned to remake the physio appointment, but cannot be seen until end of March by my normal physio, I had been planning on asking about the sensitivity in my leg. So I decided to ring my consultant’s secretary and I managed to get an appointment 3 days later. Glad I did this, I had x-rays to check the osteotomy site, bones not broken and metal plate sitting exactly where it should be. Then he listened to me saying all about the sensations I was having, including not liking the bed clothes on my leg. He checked my leg, scar sites, sensitivity, and colour. Basically, he thinks I have the beginnings of CPRS in my leg. He advised to take more vitamin c, massage the area lots to try to desensitise it and mindfulness. So I have started eating more fruit, particularly kiwis as they have 6 times as much vitamin c than oranges, massaging both legs about 5-6 times a day and trying positive thinking. We also discussed the fact that I had not had my physio appointment, but he said that walking was as good as physio at the stage I am at, so I have been walking every day, slowly increasing the distance.

I have also started to use my exercise bike for 5 minutes at a time, with no resistance as advised by my physio, however I will be increasing both the time on it and the resistance over the coming weeks as my leg gets use to it more.

It’s only been a few days but my knee is not feeling so stiff overall, I went out today listening to some music and I found I concentrated on the music and not the walking so much, making the steps easier in the long run. I am going to keep up with the vitamin c, massage, walking and the positive thinking as I feel better in myself. The lovely warm weather might be helping as well. . I was advised to wean myself of them when I feel able to so I am trying to walk a little around the house without my crutches, using one indoors when tired and two when I am outdoors.
WD

Offline WonkeyDonkey

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Re: WonkeyDonkey's Open Wedge HTO Diary 07/12/2018
« Reply #8 on: May 21, 2019, 04:38:33 PM »
3 – 4 Months

So after having such a positive start to my recovery things have gone downhill a bit, I kept up my physio exercises and the walking, also the massaging, desensitizing and eating lots of fruit for the vitamin c. I have managed to walk around the house without any crutches, although using the furniture to hold on to in moments of instability. I have managed a walk in some woodlands, which was very pleasant for a change. I have managed to go swimming and swam 20 length free-style although my knee felt good whilst swimming it stiffed up a little afterwards. I have seen my physio and now officially now on one crutch when outdoors and none indoors unless I am having trouble walking. I feel like I have turned a corner. I have reduced the number of painkillers I have been taking. I am still waking up in the night once or twice but sleeping better over all.

4 – 5 Months

I have started going to aqua classes again not completing the whole class and doing only some of the exercises, twice a week and a little swim not using my legs all the time in between classes. I am using my exercise bike for about 10-12 minutes each morning as my physio had instructed. At about 4 ½ months my knee has had a flare up. I saw my physio who had a good look and feel of my leg, so now I have to ice and elevate it to try to reduce the swelling. I have started to taking more pain relief and Ibuprofen in order to help reduce the swelling. I am having trouble keeping the swelling down as whenever I stand or walk it starts to swell and by the evening it can be unbearable and very hard to walk without the use of one or even two crutches. Have had another visit to my physio, who checked with her colleagues as to the best way forward, and I will now be referred for hydrotherapy to take the weight off my leg when exercising.

Offline WonkeyDonkey

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Re: WonkeyDonkey's Open Wedge HTO Diary 07/12/2018
« Reply #9 on: June 03, 2019, 05:24:32 PM »
5 – 6 Months

Following my visit to my physio, I am continuing to ice and elevate my knee. I am still allowed to cycle on my exercise bike for 10-15 minutes a day, two non-weight bearing exercises and short walks. I am still on one crutch outside, but on occasions find I have to use two when my knee is really swollen and painful. I feel like I am taking one step forwards and two steps backwards and find it quite annoying as I had been doing so well. I am trying to get on with everyday life but do find I struggle afterwards with swelling and pain.
I have started hydrotherapy and have two sessions this week. I started with some gentle walking along the pool length, followed by some exercises in the water, also some step ups on the pool steps. It felt lovely in the water but by the evening and next day my knee felt stiff and painful to walk on, which eased as the day went on. So the following day I saw my physio for another session of hydrotherapy, we changed some of the exercises and reduced the amount done so my leg/knee wouldn’t swell so much. I asked if I could go swimming, and I am allowed but only freestyle which is my stroke anyway! I can use a pull buoy between my legs to not overuse them. I iced my knee following the session to try to keep the swelling down.

I should have seen my consultant on Friday, but unfortunately it was cancelled on the day due to the systems being down. I feel disappointed as I have had this appointment booked for 4 months and was hoping for a solution for the swelling and pain. I have now got to wait to have the appointment rearranged, which I was told would be in the next two weeks. I am hoping this will be so.

I had an appointment with my physio booked to review what my consultant said, and had to say that it had been cancelled. So she said to carry on icing, elevating, using my exercise bike, doing my two non-weight bearing exercises and walking a little at a time. She was going to write to my consultant to let him know what has been going on and also to ring up by the end of the week if I haven’t heard about a new appointment. So now I am playing a waiting game. I have hydrotherapy tomorrow so am looking forward to it.

Moving on a couple of weeks, I have tried swimming but the knee stiffens up and swells up afterwards and is stiff and painful the next day. I have been to three more sessions of hydrotherapy; these are more to keep me ticking over until I see the consultant who I am seeing the end of next week, only 4 weeks after my scheduled appointment. Hopefully he will have some idea as to why my knee/leg keeps swelling up and how it can be tackled. I mentioned to my physio that I have a numb patch on my leg where I cannot feel anything, this is also due to the swelling. I went clothes shopping a few days ago and had to give up due to walking pain. I am a little fed up as by now I expected to be off crutches and back in the gym working out; instead I am struggling to walk, as the swelling makes it painful, using at least one crutch, sometimes two.

Offline WonkeyDonkey

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Re: WonkeyDonkey's Open Wedge HTO Diary 07/12/2018
« Reply #10 on: August 07, 2019, 09:39:30 AM »
7-8 Months

Finally got to see my consultant who took in the fact that I was still using one crutch and who said he’d had contact from my physio. I explained how the swelling was affecting my mobility and walking in particular. He had a look at my knee which wasn’t too swollen this particular morning. I hadn’t done much before I went to see him! We decided the way forward was a steroid injection to try to calm the swelling down, which he did there and then. He explained that in some people the metal irritated the leg and this could be my issue, so the plan is to take the metal plate out as soon as the one year anniversary of the operation. He felt that the metal plate was causing much of my trouble and that the sooner it comes out the better. He has put me on his operating list for some time in December/January. I have another appointment and set of x-rays in a few months to check that the bone has grown sufficiently to remove the plate and the final decision will be made then.

I saw my physio a few days after my consultant, who asked what my consultant had said. I told her about the steroid injection and the relief I have had over the past few days. She checked that I had full bend and straighten in my leg also that there was strength in the muscles as well. All being good, I was discharged and told there wasn’t much more she could do, although she would leave my file open for 3 months if I felt I need to see her again. We had a chat about moving forward, what exercises I should continue with, those I could do in the gym and some in the pool. She said to try to do short walks without my crutch and to do longer walks with it, at the moment I don’t use it around the house but when outside the house need it for support as the pavements are not flat like indoors. I am trying to walk further without my crutch but find on occasions my knee gives way so have the crutch as a comfort.

I have been to the pool, done some swimming and some exercises and it seems to take another 48 hours to recover from my visit. I haven’t been in the gym as I cannot afford the pain for 2 days afterwards, although I will try soon. I am now waiting on my husband as he has just had a hip replacement, which we had put off to ensure I was able to look after him hoping I was off crutches at least! I have been noticing more swelling and pain in my knee as I am doing more standing and walking helping him. I am also back at work part time now, which I have found adds to the swelling, although as a childminder I am currently only looking after 2 children both of which are walking better than me!! I find I cannot do my job as I really want, so am considering giving up by the end of the year, maybe when I have the plate removed it would be a good time to give up. Not sure what I am going to do then, maybe concentrate on me for once!!

I am continuing to go for a walk, with my husband for his physio, but on occasions find he is walking better than me, and I have to rest when I get home. I have been to an aqua class which is great all the time I’m in the pool, not so good later in the day, also been swimming and exercising in the pool on my own. I feel reluctant to do exercise as I know that it takes 2 days to recover, but I also know that I need to exercise to get better and more strength in my legs. For now I’m just plodding on the best I can, knowing that hopefully once the plate is out my swelling should go down and I may be able to walk better.

I know there is a light at the end of the tunnel, I just have to get there and time will help.