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karinajean

karinajean gives herself ALL THE PRESENTS

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I'm sorry your appointment sucked! He really should have asked more questions (like the one you mentioned) before telling you what not to do. Ugh, I hate doctors.

 

I can't really bake, and if I could we are far enough away it wouldn't matter. But I found this for you!

900x900px-LL-7d673bae_gallery86734413368

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Aw man Karinajean.  :(   That really really sucks.    And I'm sorry it's left you so flustered.   I would be feeling EXACTLY the same as you.    All I can say, is that sometimes it's really worth going to get other opinions and angles.     Find a /sports medicine/ or /sports ortho/ guy to talk to.    I am so sick and tired of 'doctors' that look at average, non professional adult sport doers, and consider them second rate athletes that should just 'give up what they do' because of this or that.   No.   Unacceptable.     See if you can find someone who can and will work with you toward your goals.   Even if it's helping you find alternate ways to reach them.

 

You're doing fine.   :)   And you did a GREAT freaking job with working back to where you are now.   So don't give up hon.   Don't give up. 

tumblr_m02vd656b81qct9jao1_500.gif

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Could you contact your physical therapist instead?  While I had absolute faith in my surgeon's ability to fix my knee and assess how things were looking from a medical standpoint, I relied so much more on my physical therapist for advice on actual activities and exercises.  

 

The squats and lunges thing is really weird.  My PT absolutely insisted that I do squats, lunges, and single leg mini-squats, even if my knee was actively hurting (providing that the pain was just a 3 or 4 on the pain scale).   Are you adding a ton of weight to the squats and lunges, or is it more or less bodyweight?

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Could you contact your physical therapist instead?  While I had absolute faith in my surgeon's ability to fix my knee and assess how things were looking from a medical standpoint, I relied so much more on my physical therapist for advice on actual activities and exercises.  

 

The squats and lunges thing is really weird.  My PT absolutely insisted that I do squats, lunges, and single leg mini-squats, even if my knee was actively hurting (providing that the pain was just a 3 or 4 on the pain scale).   Are you adding a ton of weight to the squats and lunges, or is it more or less bodyweight?

 

the squats thing IS really weird. I am only doing bodyweight, and I started out with squats very early in my recovery under PT's direction. I told the doc that too. I guess maybe just like he doesn't like braces, he also doesn't care for squats and lunges?

 

I could talk to the PT, but really, at the last appt he had me do a bunch of exercises and told me that I was doing really well. I just need to hold on to his reassurance instead of worrying about my boring doctors boring feelings, I mean, my PT told me I was a model patient and everything! that is good enough for me.

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I'm sorry your appointment sucked! He really should have asked more questions (like the one you mentioned) before telling you what not to do. Ugh, I hate doctors.

 

I can't really bake, and if I could we are far enough away it wouldn't matter. But I found this for you!

900x900px-LL-7d673bae_gallery86734413368

 

 

OH MY GOSH THIS IS AMAZING.

 

thank you so much. <3

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Aw man Karinajean.  :(   That really really sucks.    And I'm sorry it's left you so flustered.   I would be feeling EXACTLY the same as you.    All I can say, is that sometimes it's really worth going to get other opinions and angles.     Find a /sports medicine/ or /sports ortho/ guy to talk to.    I am so sick and tired of 'doctors' that look at average, non professional adult sport doers, and consider them second rate athletes that should just 'give up what they do' because of this or that.   No.   Unacceptable.     See if you can find someone who can and will work with you toward your goals.   Even if it's helping you find alternate ways to reach them.

 

You're doing fine.   :)   And you did a GREAT freaking job with working back to where you are now.   So don't give up hon.   Don't give up. 

tumblr_m02vd656b81qct9jao1_500.gif

 

a huge lot of it is that I'm such a needy geeky kid, and I just really crave positive reinforcement. I knew I wouldn't get that from the doc! thanks for the hockey hug. I do have a personal referral from a colleague to a general physician who is ALSO a runner, and I have hopes that this guy will be the one doctor who understands an adult who has an active lifestyle.

 

(sidenote I first typed "active adult lifestyle" and realized that has saucy implications. ha!)

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Ugh! Sorry that does sound super frustrating. Hope the massage helps.

 

I've been trying to work this kind of thing in for regular self-care for an active body, and this is definitely the final push I need to make it happen.

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It could be handy for breastfeeding women to use for pumping...

 

we are pretty fortunate in that we have a room with nice chairs and a tiny refrigerator for the breastfeeding women to use - when we moved to this existing location some of the moms/moms-to-be raised the issue, and management made it happen.

 

(this is the room I do my handstand practice in, too.)

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I agree with the suggestions to talk to your pt or another doctor. You could call your pt and ask for clarity because you are confused... ;)

Seriously, though, my surgeon had told me that my knee would get sore sometimes, and just to ice it. I find the best results with preventing/reducing pain with working on & stretching my IT band. I can thank a sports chiropractor for that help. Of course, meniscus surgery is different from ACL, so your mileage may vary.

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(sidenote I first typed "active adult lifestyle" and realized that has saucy implications. ha!)

 

Bwuahahahaha hilarious! :)

 

I agree with the suggestions to talk to your pt or another doctor. You could call your pt and ask for clarity because you are confused... ;)

Seriously, though, my surgeon had told me that my knee would get sore sometimes, and just to ice it. I find the best results with preventing/reducing pain with working on & stretching my IT band. I can thank a sports chiropractor for that help. Of course, meniscus surgery is different from ACL, so your mileage may vary.

^^

Mo told me that I should marry my foam roller and roll my IT bands every day, for the rest of my life.   I've yet to comply.   Bad me.  But this seems like confirmation on the advice elsfaire's offers!

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But, both you and karinajean are about 6 months out from surgery, right?  I know we've all received different PT protocols, so maybe that's why things are so different.  6 months was the point where I was pretty much allowed to ease into normal sports.  PT at that point was more of a supplemental thing to address any remaining weaknesses, and it was mostly things everyone should be doing anyway.  My graduation-from-PT home program sheet wanted 3x/week of 1 and 2 leg jumping, squats, lunges, stretches, agility drills and some other stuff.  It's pretty easy at that point to kind of roll it into whatever you're normally doing, anyway.  I'd guess for KJ, the agility drills are pretty much handled with TKD footwork.  Some of the squatting and lunging stuff is more or less handled also from low stances.  I'm sure the ROM stuff and stretching is effectively handled in a normal class.  And jumping, too.  So, all that's left is a little jogging and maybe some very direct effort for squats and lunges.  Maybe I had the wrong attitude toward everything, but I kind of figured that yoga would give me the balance work and stretches.  Climbing + yoga would give me a lot of the leg muscle building (effectively filing in for squats and lunges).  So, I just needed to work in some jogging, jumping, and some weighted squats and such a couple times/week.  It was a lot easier to handle that than to saddle myself with an extra hour long workout 3 days/week.  

 

But, for what it's worth, your muscles are strong enough that a week or two off really isn't going to hurt your recovery, unless you end up making a habit of never doing the squats, lunges, etc.  It's such a tough time of year, since so many life obligations get in the way of everything else.  

Well I'm a little bit behind with the ALL reconstruction as well.  The earliest I'll be cleared will be 8 months (my schedule is funny because we follow sister's for followups).  I haven't formally graduated from PT yet either.

I know it's not the biggest deal, but I do still have some (to me) significant strength imbalances - I notice on anything that isolates the hamstrings and on my single leg squats.

 

 

aw Starpuck! thanks so much. I needed to hear that, because my drs visit was profoundly disappointing.

 

basically my knee is great - stability is awesome, etc. graft seems to be holding up really super.

he was excited about my PT kicking me out and told me not to take it personally.

that's good! it started out good.

 

but when he asked me what kind of exercises I was doing on my own (after I told him the knee got sore and that's how I knew I needed to keep working at it) he was ok with the running and weights... and then said to stop squats and lunges.

what!

they don't hurt!

but he said: your leg is getting SORE. that's patellar pain.

I said I'd sort of assumed there were a lot of muscle connections around the knee - you know, like the ankle? and they might get sore when you're using them! and he kind of smiled and kept talking about things I shouldn't do.

WHAT.

he didn't ask me for range of motion, weights, measurements of muscle size, anything. he just did that wiggle the knee thing and told me things I didn't want to hear. which makes it super hard for me to even believe him.

 

basically, after the last 6 months of hard work, rearranging my life, prioritizing this over nearly everything else, I needed the doctor to tell me: GOOD JOB. you've been doing great. KEEP IT UP. you will be able to do ALL THE THINGS.

instead he kind of said: stop some of the things.

and he skittered out the door.

I know I joke a lot about how my surgeon is a REAL SURGEON, like, very bad at talking to people, not interested in conversation, etc.

but man, I was so disappointed after that doctors appointment.

 

I want someone to bake me a knee shaped cake. This is such a let down.

and I HATE that such an awesome milestone - 6 months after surgery! - culminated in a doctors visit that pretty much saw me in frustrated tears as I drove back to work.

 

I talked to my husband about it, and he did some armchair doctor research and suggested I look at IT band and pateller exercises, and IT stuff is treated by massage, so I'm going to schedule weekly massages for the next few months.

at very least I'll feel better about SOMETHING.

plus my FSA has a lot of money left in it from 2014, and I have a grace period through 3/15/15 to use it up, and massages are reimbursable.

What kind of pain?  I asked my surgeon about pain right at the joint line on the inside - sometimes it's sort of random, sometimes it's definitely exertion related.  He basically kind of shrugged and said no biggie, keep doing what you're doing as long as it doesn't get worse.

 

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What kind of pain?  I asked my surgeon about pain right at the joint line on the inside - sometimes it's sort of random, sometimes it's definitely exertion related.  He basically kind of shrugged and said no biggie, keep doing what you're doing as long as it doesn't get worse.

 

 

it's really a general soreness, which is why I was never concerned. It felt like I was USING it, not sharp and painful. but the soreness is mostly located on the inner knee (front of knee, inside of leg next to knee cap) and some on the lower quad on the outer knee.

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it's really a general soreness, which is why I was never concerned. It felt like I was USING it, not sharp and painful. but the soreness is mostly located on the inner knee (front of knee, inside of leg next to knee cap) and some on the lower quad on the outer knee.

 

I still get exactly the same pains.  My PT viewed them as "meh.  keep doing your program.", and my doctor didn't say anything about them.  I just assumed that it was related to DOMS and residual scar tissue.   

 

The only thing that would make any sense at all to me is to check whether your form is good for the squats and lunges.  My PT did stress repeatedly not to let my knees pass beyond my toes (which is why we started with TRX squats and wall squats, so it would be easier to maintain good form).  Maybe your doctor just dislikes squats since a lot of people tend to have bad form and might injure their knees through the bad form.  

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I still get exactly the same pains.  My PT viewed them as "meh.  keep doing your program.", and my doctor didn't say anything about them.  I just assumed that it was related to DOMS and residual scar tissue.   

 

The only thing that would make any sense at all to me is to check whether your form is good for the squats and lunges.  My PT did stress repeatedly not to let my knees pass beyond my toes (which is why we started with TRX squats and wall squats, so it would be easier to maintain good form).  Maybe your doctor just dislikes squats since a lot of people tend to have bad form and might injure their knees through the bad form.  

^

My squats must be front squats, or spiderman squats to keep me from tipping forward and going too quad dominant per my PT.   *nodnod*

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Surgeons are brilliant at surgery and awful at talking to people. They should hire people to translate for them. That would totally get me down too. 

 

I had this guy 10 years ago and I don't remember ever feeling so frustrated... and then I remembered that he always had a PA with him 10 years ago, and I've NEVER seen one this go-around. oy!

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I still get exactly the same pains.  My PT viewed them as "meh.  keep doing your program.", and my doctor didn't say anything about them.  I just assumed that it was related to DOMS and residual scar tissue.   

 

The only thing that would make any sense at all to me is to check whether your form is good for the squats and lunges.  My PT did stress repeatedly not to let my knees pass beyond my toes (which is why we started with TRX squats and wall squats, so it would be easier to maintain good form).  Maybe your doctor just dislikes squats since a lot of people tend to have bad form and might injure their knees through the bad form.  

 

^

My squats must be front squats, or spiderman squats to keep me from tipping forward and going too quad dominant per my PT.   *nodnod*

 

I think the surgeon is just anti-squat. My PT even told me that my squats were really good form! and my PT *also* told me that yeah, it was going to be sore, but as long as it wasn't a sharp pain it was no big deal.

 

OK! I am feeling a lot better. Thanks everyone.

I think the one thing that is really going to drive me crazy about this interlude is that I did SUCH A GOOD JOB of avoiding the general ACL recover mindfuck and one stray comment from my surgeon - who I know is an absolute horrible communicator and doesn't actually care that much about my ability to move, just that his surgery is perfect - sent me down an ugly rabbit hole. I hate that! I was so good for 6 months! I ignored all kinds of weird twinges and did an awesome job of staying in the right mindframe!

ugh, that guy.

 

gonna do some squats tonight or something ;)

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One short foray into a rabbit hole, over a 6 month period, is still a remarkable thing to accomplish.  

You took a peek, caught yourself, and then jumped right back out! 

 

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^

My squats must be front squats, or spiderman squats to keep me from tipping forward and going too quad dominant per my PT.   *nodnod*

I'll bite - I googled spiderman squats and found so many different things?  splain?

I'm having a bad bout of the medial joint line pain today, like right at the inside of the knee 90 degrees from the kneecap, if my leg was a perfect circle.  Enough so that I'm googling things like mad to find out if it's normal or if I wrecked something.  Oy vey.  Stairs and even walking are a bit sucky right now.  I think it's just a general ouch, but maybe it's sharp?  I don't even know.  

 

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Bwuahahahaha hilarious! :)

 

^^

Mo told me that I should marry my foam roller and roll my IT bands every day, for the rest of my life.   I've yet to comply.   Bad me.  But this seems like confirmation on the advice elsfaire's offers!

I had problems squatting back in Jan/Feb and the foam roller did loads of good :D  (Mind you, now I know it wasn't proper form no matter what the trainers at the gym said...)

 

 

ANYWAY, Karina, do all the squats!!!!  Don't worry about "that guy" ;)  Your body will tell you if you're doing it wrong, and your PT sounds like he knows his stuff. 

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I know this isn't the most popular opinion, but I think your own knowledge and awareness of your body trumps a dismissive doctor, hands down. The last time I had my disc slip out of place my pain management specialist told me I'd never lift more than 25 lbs again. She also said I was so active that PT wouldn't help me, but to come back when I could no longer walk and we'd discuss surgery. Pretty nice, huh? Especially considering my toddler already weighed more than 25 lbs at the time.

 

I was hurt at first. My body had let me down, and I was going to be the inactive mother, watching my daughter's life from the sidelines. But then I got angry. There was no way I was going to accept that kind of restriction. I started doing research on my own, joined NF, and started exercising in earnest. WIthin a few months the pain diminished, and my strength and confidence grew. I routinely deadlift 110 lbs, and can get it up to 140 lbs if I'm pushing it. I still have tweaks of pain to remind me when I'm over doing it, like on the Russian chair the other day doing leg lifts. I respect my body, listen to it's feedback, and change what I'm doing.

 

You are SUPER careful with what you do. You are a healthy and active adult, which is kind of a rare things these days. Doctors aren't used to seeing people like us who are willing to put in the time and effort to fix and improve our injuries. They are used to the fast-track, PT skipping, drug reliant patient, who would baulk at the schedule we keep.

 

You are doing great.

 

full stop. You graduated PT. He made sure you had good form. If you want to squat and lunge, girl do it. Listen to YOUR body, and if you feel like those movements are helping, please don't feel like one grumpy doctor should stop you. Now, I am in no way advocating ignoring professional medical help - but they are human, too. At some point, people need to take some personal responsibility for their health, and you have done that. Recovering from a major injury SUCKS. It's hard work. It takes dedication and a mental fortitude that most people don't have. Not only have you been rocking it, you are a stronger and better person because of it.

 

I'm sorry he made you feel sad about your progress. That's his bad. Surgeons really need to work on their damn bedside manner, it's infuriating. Mine told me to pretty much do whatever I felt like after my appendectomy. He didn't give me any good guidance or help for my recovery. It was a blessing in the end, because I didn't have to listen to anything but my own body. I am actually grateful for that. If you need validation that you are doing the right thing, and you are doing right by your body, I am giving it to you :D keep rocking it, sister. You are doing amazing things <3

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