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Wednesday, October 27, 2010
Physical Therapy - Days 8 & 9
Things were a bit tight on Monday. I struggled with seat setting #6 on the Nu-Step and my knee was killing me on the bike. I just cannot get my stinking left knee around without sacrificing form. I always think about what my yoga instructor, Cindy Zubritsky always said. Push it a little further, as far as you can with no sacrifice to form. That would be me on the bike. I'm reconciled to the fact that for now at least my left hip is going to come way up, I do my absolute best to keep my knee coming straight back rather than compensating by bending it in, and my ankle/foot just can't do exactly what it's supposed to.
Tuesday was a really good knee day. The right leg was great and the left leg was at least loose enough that it didn't feel like I was dragging a weight around the middle of my leg. By 7:30-8:00 at night they were tired and a bit stiff, but on the whole, it was a good day. I have my home exercise regimen down pretty good. It takes me about 40 minutes in the morning to do the exercises on my stomach and back. During the day I am very conscious about pulling my knees in as far as I can while I'm sitting. I try to do 30 of the exercises where my knees are pulled in and I stand up and sit down. Then, at night, I do the standing stretches and the ones on my stomach. I am going to start trying to at least rock them on the bike trying to get them around.
Today seems to be another good day. My knees were pretty loose going to PT this morning. Jeff commented that he's puzzled as to why the left knee isn't doing better on the bike. Apparently you need between 100-105 degrees flexion to make it around okay. He feels that I'm very close to getting that with this stinking left leg, but I am really struggling. At the end, he thinks it's the hamstrings being so darn tight. He asked what I did yesterday at home. I went through everything and he was stunned. He said I am certainly doing more than I need to and that he wished even half of his patients would do as much.
I have approved PT sessions 3 days a week through November 18. I guess I just keep pushing on and hope this knee comes around.
Thursday, October 21, 2010
Phystical Therapy - Day 7
He approved my exercise plan for non-PT days, just adding the bike in for those days. I tried the regular bike today and it was a real chore. I have to concentrate on every movement my left leg/ankle/foot makes. Whew, it's a lot of work! It's getting closer, but even if I keep my knee coming back straight, get the correct ankle/foot movements (all of this really makes my knee bend and it hurts!) my hip is still rocking to compensate. Oh well, I guess it just takes time.
Not to mention I'm supposed to take a day off over the weekend. Wahoo! Another guilt-free day off. The important thing is that Jeff feels I'm definitely making good improvement so I think I'll just bask in that for awhile!
Wednesday, October 20, 2010
A Good Knee Day
Last night was achy and a bit painful so I popped some Advil and Tylenol before bed. I slept pretty good from 11:30-5:30. I know there were a few times I sat up to turn over and a few heat flashes in there, but all in all, it was pretty sound sleep. I gingerly got out of bed like always and was surprised that the knees were feeling pretty loose. I did a series of exercises, got a shower, and now, at 3:00 today, they are still feeling pretty loose.
I spent most of my day in meetings, trying to keep my legs pulled in as far under the chair as I can manage for as long a period of time as I can tolerate it. I'll go through another set of exercises tonight and then hit PT hard again tomorrow.
I'm afraid to hope I'm on the right track and things are finally going to start improving!
Tuesday, October 19, 2010
Physical Therapy - Day 6 - Tuesday
The squat machine may not be a hack squat machine. It may be one of these. Regardless, no matter how much time goes by I still don't like it any better.
We picked up my dog collar last night so I was able to do the knee bending and knee extension exercises. Today I learned a trick that might just keep my crazy wacky feet going in the right direction. Since my feet want to turn to the inside, if I position the strap on the inside of my leg it forces the foot to turn out a bit. Not that I can see it of course!
Today was the last of my week long appointments following the MUA (manipulation under anesthesia). Jeff wants to go to 3 times a week and I'm keeping my fingers crossed that the insurance will extend the therapy. So as of now I'll be going again Thursday morning this week and then M-W-F next week.
I really wish I could go every day. I need the structure and reinforcement I get there to keep me not only physically on track but mentally with the program too.
Monday, October 18, 2010
Conversations With Gwen
We took bread down to the pond to feed the ducks and geese. One duck came flying in from the left, skimmed across the water, but was still separate from the rest of the water fowl:
Gwen: Come on duck, get in there with the rest of the herd!
You may know about the drama of Gwen's latest hair cut. She's such a girly girl and was not happy that her hair ended up way shorter than she wanted it to be.
Me: Gwen, something looks different about you today. Did you get your hair cut?
Gwen: Grandma, that girl just didn't know what to do with naturally curly hair like mine. She didn't even know that it's long when it's wet but the curls make it shorter when it's dry.
We talked about the fact that it's a good thing that hair grows so even though she wasn't happy with it right now, it would grow. On the way home from lunch, Gwen was looking in my rear view mirror:
Gwen: Grandma, I think my hair looks a little longer already. My hair grows really fast. Really it does.
In preparation for the Daily trip to India, Gwen has been struggling to take some pills for typhoid. The pills seemed to be a good option as opposed to a shot, but she is really having a hard time swallowing the things. She got some of them down, but still has a few to go.
Gwen: Grandma, I just can't take those pills. I tried taking them with tic tacs, raisins, and yogurt. Then applesauce worked. But now, those pills just go to the side of my mouth and won't go down my throat.
Yeah, those crazy pills have a mind of their own. As does the lovely Miss Gwen.
Physical Therapy - Day 5 - Monday
I find that PT is a very strange thing. Sometimes when you think things aren't going so well, they really are going okay. Perhaps this has been a continuing theme with me, but since I had to have the manipulation, I do feel somewhat vindicated. Anyway, my left knee struggled with the closest seat setting on the Nu-Step machine this morning. Very tight, somewhat painful. The other exercises, with the exception of the squat machine went well. I have a hate/hate relationship with this machine. Same problems as Friday: legs don't bend enough, butt doesn't go down far enough to increase the bend, and $#@! legs struggle to push myself up. Grrrrrr. The balance ball thingy went great. No problems standing without holding, and I was able to go from side to side without holding on much. Going back and forth required some holding on, but I think I'll do okay with that too.
Then came the stretches on my stomach. The therapist was giving me a little extra push which hurt, but he seemed really pleased. He said he thought for sure I was over 90 degrees on the right and very close on the left. That's a good thing.
Jeff worked with me then and as expected is very pleased with the right knee, not as pleased with the left. But, he did feel as though we've made good progress on the left knee. I have to buy a dog collar tonight to use as a strap. Jeff wants me to do the "lay on your stomach and bend your knee up using the strap to bend it more" exercise three times a day.
Ugh, there's a couch thing in the ladies room, but the thought of laying on that for anything is like a germophobe's nightmare. I guess I can bring a sheet or something in to cover it. I'm supposed to do this morning, noon, and night and I suppose I can bite the bullet and do it once at work. Yuck.
Tomorrow morning is my last scheduled PT session but Jeff is hoping to get it extended so I can go in 3 times a week. I really hope this is approved because I finally think I'm making some progress. I'd like that to continue. I'm clearly not where I need to be yet and seriously, I need to continue.
Relaxing Weekend
Sunday morning was spent with the lovely Miss Gwen. A chatty breakfast at home, a word search, and a few puzzles in the puzzle book done together. We gathered up all the lawn ornaments and made a parade on the picnic table before putting them away in the garage. Gwen brought bread and we fed the ducks and geese. I can tell the migration started. Lots of geese and honestly, I don't think we ever fed them at the pond before. Quite a noisy bunch! Gwen sketched out two halloween cards she wanted to make and we did get one done before leaving for Isaacs for lunch. Gwen loves Isaacs...and Old Country Buffet. I picked the lesser of two evils! LOL! It was a great start to the day.
My folks came over for dinner and as the "gentlemen" had their cigars and drinks, Mom and I opted for hot fudge sundaes at 3B. Yummylicious.
Oh, and I also finished watching the Blind Side. I started it Saturday before dinner and finished watching last night. What a great movie.
All in all, a fantastic weekend.
Friday, October 15, 2010
Physical Therapy - Day 4 - Friday
This squat machine isn't exactly like what we used, but close enough. I hated it. It was hard to keep my knees at 90 degrees, hard to keep my feet from turning out, and hard to get my butt low enough. My legs are typically pretty strong, but I had a really hard time moving and then getting low enough. And did I mention it hurt?
I've seen the bosu balls before but never used one. Obviously the rounded part is on the floor and you're standing on the flat part. Good for core work. Actually I had pretty good balance on the sucker, and then I went side-to-side and front-to-back. It wasn't bad.
You wouldn't think it would be hard to lay on your stomach and bend your legs up to your butt. But, aside from the obvious knee issues, my traitorous feet just don't go right. I couldn't figure out what it should feel like so I could repeat it, but it appears as though my feet were turning in. I don't know. Actually I'm confused about this other than the fact that they just weren't coming straight back. It's hard to fix something when you a) can't see it, and b) can't tell what it should feel like.
I finished up on the Sci-Fit on seat position 8-7-6. Jeff was really pleased with the form on my left leg. Hip down, knee straight, and the ankle moving the correct way, with the knee flexing the way it is supposed to - a good finish. He said it's the first time that my knee was flexing on this bike the way it should. I'm really happy with my progress there.
The best part of the whole morning was Jeff telling me I did a great job and that I should take tomorrow off and have a light day on Sunday. He's definitely high on my list of favorite people right now, although he did end by saying we'd hit it really hard again on Monday. This never happened during my previous therapy and I drove myself crazy trying to do two sets of PT every single day for four months until I was just physically and mentally beat. Jeff said sometimes it's best to let the inflamation settle a bit and that I wouldn't suffer any setback this way. I am so looking forward to the weekend and I will be ready to do whatever it takes again on Monday.
Thursday, October 14, 2010
Physical Therapy - Day 3 - Thursday
Today we stretched out the hamstrings and then got on this thing called Nu Step http://www.nustep.com/. I try to concentrate on keeping my left hip down on the seat, the knee coming back straight, and not rolling my ankle. I did 5 minutes each at 3 different seat locations, continually moving forward. It was a little ouchy at the end.
Then I laid down on the table and bent each leg up 10, then lifted the leg straight for 10 and repeated it for 2 sets on each leg. So far so good. Then he added a strap to my leg and had me bend it as far as I could then pull the strap and hold for 15 seconds. Not too bad, right? Yeah, until you continue to pull the strap 2 more times and hold for 15 seconds each. I did 3 on each leg and I have to tell you I left 3 wet marks all over the sheet where my forehead and wrists just sweat ....um...wait, lightly perspired...yeah, that's better. Holy moly.
Then I sat up on the table and he stretched them. This was nothing like my previous physical terrorist where I would end up crying, but it did stretch until it hurt. I was able to help stretch it back further, and Jeff was pleased.
I finished up on this funky recumbent bike, or at least one very similar. It's different than the recumbents I've used at the gym before. It sits more upright but your legs are stretched out. As no good deed goes unpunished, and I did so good yesterday, I started with my seat position one more notch forward. Good so far. Another one of these deals where you go 5 minutes and then move the seat forward again. So, at the end I was as far forward as I've been so far. He liked it so well that for the last minute we moved it up yet one more notch. Yikes. Yeah, that hurt, but I was glad I could do it. I practiced actually pulling my toes up as I made the revolution up, and that really made the knee stretch. Again, Jeff was happy with my progress

Wednesday, October 13, 2010
Physical Therapy - Day 2 - Wednesday
Anyway, today we tried to start out on the elliptical but it was evident within the first 2 minutes that it wasn't working due to the lack of flexion. Again, I had to compensate too much form to do it correctly. We nixed that and began doing some stretching exercises, again trying to stretch the hamstring. While I was face down doing one of the exercises, I sensed someone coming to my side. She said, "Donna Gault, I know that's not your last name now. How are you?" It is a small world. Who knew little Shannon Benner would grow up to be such a beautiful physical therapist?!! But I digress. We then went to some equipment and ended up on that funky bike. The good news is that we were able to move the seat forward one more notch at the end. Jeff thinks that we reached 95 degrees flexion today and I'm happy with that. I've got to take every little bit of progress I can as I feel I am all but starting all over.
Physical Therapy
We talked about how I walk and how I sit and I will be trying to make adjustments. I don't know what kind of bike he had me on today. It wasn't a spin bike and it wasn't a recumbent. Regardless, we worked on form and making my hamstrings stronger. I know that when I'm on the bike my right leg does the work and I compensate on the left because it doesn't want to bend correctly.
I had first appointment on Tuesday, October 12 and will go every day this week and Monday and Tuesday next week. We'll see how I'm doing and more importantly what insurance will pay for. Crazy world where the right thing is determined by an insurance company and not the condition of the patient or the recommendations of the professionals. This will only get worse under Obamacare and was one good reason for doing this now.
Manipulation Under Anesthesia
I think the procedure itself took less than 5 minutes to perform. It took longer to do the IV and knock me out! I do know that he shot the anesthesia stuff into the IV, I kissed Brent good bye, and I don't remember going out the doors from the holding area. That's some powerful shit!
It was a long trip home. I had the ice bags from the surgical center, and Brent brought others so we switched them out on the way home. All day it was 20 minutes on, 20 minutes off. I know I cried for about 2 hours straight because my right leg hurt from the ankle to my hip. About an hour into it I took 2 darvocet which knocked me out and took care of the pain. I wasn't in any pain really for the rest of the night. I took one pill before bed just to insure a good night and really, I had the best night's sleep in a week.
All I can say is that I really hope this does the trick.
Tuesday, October 12, 2010
GAWT VIII
Here Bent, Rick, Dad and Mom contemplate their selections.
Disney's Wine and Food Festival
Wednesday in the Magic Kingdom
I'm Sorry Mickey!
We arrived bright and early and Matt graciously sprang for the valet parking. Hey anything that helped save my knees even a little was most welcome. We started on the Universal side with a few pictures with some characters.
Keys to the Kingdom
Disney just pays so much attention to detail, and sometimes they are small things that you might not notice without someone pointing it out to you. Just walking down Main Street puts you on sensory overload so you really do miss many of the finer details such as the names of people and businesses written in the upper story windows. For example when the decision was made to build the theme park in Orlando, many dummy corporations were formed to purchase the swampland properties. Obviously Disney wanted to purchase the land as cheaply as possible and for most of it they were able to purchase the land under $80 an acre. When the word leaked out however, prices skyrocketed to $85,000/acre. Those dummy corp names are written in one of the windows.
There was a lot of talk about everything at Disney just being larger than life. In order to create that illusion, they used forced perspective in the architecture. For example, the spires on the castle are smaller than they really would be to create the illusion of the castle itself being much larger than it really is. They use different architecture and differnt colored pavement to delineate the different "lands" as you go through the park. When there are maintenance buildings behind the storefronts and attractions, they are painted "go away green" and "bye bye blue" so that they disappear into the landscape and sky and you really never notice that they are there. Disney wants you to be totally immersed in the fantasy.
This was a great tour if you have been to Disney before. Using your Disney visa gets you a 20% discount too!