Post-surgery Knees - Part 8

I returned to Clemyjontri park last year. This time, I'd left the wheelchair and cane in the other car. I was already over halfway there when I remembered, and even Jamie knew I was in for a bit of a challenge.

Apparently I did better than I thought. I was able to stop a few times in places before continuing on.

I'm wondering if I can actually do the graduation walk this May 2013?

Can't do it if I use the wheelchair too much. Now to get back to my exercises.

Hills and Wind and Water after Knee Surgery

Booktoots posted Natural Way to Increase Resistance While Walking and it got me thinking...

Where I live is a steep hill going downhill going one way from the house. Going the other way is a gentle hill. You wouldn't really notice it if you weren't looking at it. But it's there. Walking to the store and back I can't quite do yet. Towards the store, you're going up the hill. It's a gentle grade, but it's still some good exercise. Going up my driveway is easier than going downhill. Can't quite do that when it's snowed or there's some ice around.

Where I used to live had hills galore of varying steepness. You could stay on the same street and go uphill a little, then downhill, then suddenly downhill, then turn a corner to another street, and go right back uphill. Then go round a corner, downhill a bit, then go around another corner, steep hill, then gentle hill. Back home, one gentle hill up and down. Wow... Good walking.

Personally, water walking does a great job.

When I was still able to use a bike in high school, I had this paper route that took me up a hill, then down. Think how hard it was for me to go up the hill when the wind was blowing hard. Now think how much harder it is when your bike is stuck in third gear...

Post-surgery Knees - Part 5

Whoa... It's been a few months since I last posted. Been a little busy with an online class and some other things.

I'm improving more here and there, though still using a store's electric scooter. One scooter I used ran out of power halfway through my shopping. I managed to walk to the front of the store to get a cart, take it back to the scooter, transfer the items and finish up my shopping. That was a little easier than I thought. One of these days, I'll do a quick bit of grocery shopping without the scooter.

A few weeks ago, the local area had about an inch of dry snow. I had to see if I could do it. After a little bundling up, I spent 30 minutes shoveling a path through the driveway and sidewalk without help. I had to stop once to rest. Then recently, we had a snowstorm which dumped about a few inches of snow. I managed to get half the driveway done, with Jamie taking finishing the rest. I did it again that morning to get the rest of the snowfall, again getting half the driveway done.

There was also this ASL dinner I went to between surgeries. I went back out there and had to stop a couple times to rest a bit. Getting my tray with food up the steps was a little difficult, but I made it, something I wasn't able to do last time I was there.

I'm getting there in terms of my endurance. It'll take time, though. Let's see how much of the lawn I can mow this summer.

Post-surgery Knees - Part 4

It's been a little time since I last posted about my knees. I've had a couple milestones since then. I'm still swimming here and there and doing water walking.

We have an elliptical, so I'm just easing into the thing. It's tougher than it looks since I can only walk or tread on it slowly at the moment. Riding an actual bike will take a bit more time.

I managed to walk from the house to a friend's place, only stopping for a few minutes to rest, then walked right back home. It was a pretty warm day and I was sweaty by then.

I was also at Jamie's dad's place and managed to walk from his house to the lake. Getting there required me to walk downhill on a gravel and rock path. Fortunately, it wasn't too long a path. I wasn't able to go down it before the second surgery.

Post-surgery Knees - Part 3

I'm feeling a bit more improvement here and there. We have an electric mower and there were some technical problems here and there in trying to mow the somewhat overgrown side of the house due to another mower that kicked the bucket. Normally, I don't do much except to make sure that the extension cable doesn't get mowed and damaged like it did one time, me sitting off to the side.

In this case, I was out there for about 20-25 minutes after resetting the electrical breaker box. Then I started mowing a few rows. No pain, just some stiffness on the left knee, which was expected. Later on, I used the edger in places.

Looks like I could get back to doing at least some mowing next year.

I did some grilling in the back yard's small brick grill with the help of Jamie's young son. He did a nice job in flipping some of the burgers and hot dogs and helping out in taking in the cooked items.

While watching the "See What I'm Saying" documentary at MSSD's Malz Theatre, I didn't use the wheelchair. I walked in, standing part of the time before the show, and standing much of the time afterwards, talking with others. That's pretty much another milestone right there.

Post-surgery Knees - Part 2

It's getting easier for me to do things here and there. I'm able to walk a bit further than before. It'll be a bit of time before I can walk to the store just up the road as it's a one-way walk at the moment. The contracture is still there a bit, but I'm hoping to have it resolved within a couple of years.

I was out at an ASL dinner not long ago and was in line for about 15-20 minutes. I couldn't stand that long before the surgeries.

I also had to help out in getting a new electric mower working properly since it kept blowing the fuse. When I finally got everything working, I even went so far as to do some mowing, thus being outside and mowing some high grass for about 20 minutes. I was beginning to hurt a little and the left knee was stiffening up a bit. I'm hoping next year I'll be able to mow longer.

Will I be able to get to classes without using the wheelchair, just using the cane? I should know sometime soon.

Exercise and the knees - Part 2

There is a park in northern Virginia called Clemyjontri that is designed to be accessible to children of all abilities to play together. Even the adults play as well. I've visited before and after my second knee surgery. It's had around 200,000 visitors a year, making it a very successful park in its own right. People from miles away, even as far away as New York State and Delaware have visited.

There's an interesting side effect to my last visit. It's a rehab facility in a way for me. A seesaw with springs becomes a knee stretcher with someone on the other end. A balance beam with handrails on each other allows me to do a little moving around and stretching my upper leg muscles as well as my being able to move along a narrow path. Another piece of equipment with alternating heights of steps allows me to work on my ability to step up and down on higher/lower steps. A couple other sets allow me to do other exercises.

Sometimes even the right type of playground can become a rehab facility, provided you're there at the right time and kids haven't quite taken over the place.

Post-Surgery Knees

I'm seeing improvements here and there on the right knee and it's nearly there in being straightened. The left one still has the muscle contractures, but is straightening out here and there in little bits.

Two milestones came up...

I spent two hours each on a Saturday and a Sunday with Jamie in the back yard doing some planting. While I was sitting at least part of the time, I was helping out here and there in digging holes with something called a garden weasel and removing rocks as I broke up soil chunks. I was able to do more than I could before and just a little pain.

My sister visited with her family and we walked to the building next door which has a playground in back then back to the house. It was a little difficult, but no pain. I probably could walk around the building quite soon.

Post-Surgery Right Knee - Part 5

A lot has happened since I posted Part 4. I'm done with physical therapy and the right knee has improved quite a bit, but isn't quite completely straight. I still use the local rec center's pool and hot tub with some stretches in and outside the hot tub. I still use the heating pad as well.

Walking around the house has improved, though I'm still a bit off-balance due to the left knee. That should improve over time as it straightens out. The surgical scar's still a bit red, but that will improve.

I got some walking challenges ahead of me... There's a building nearby that has some seats outside that I've walked around before the second surgery. I'm hoping that by the end of summer, I can walk around it without too much trouble.

The snow piles we had from that big snowfall last month are mostly gone. At the local metro/subway stop, there was this large pile that reached up to the second level of the parking garage. It's now about half that size. There was this big snowfall in Illinois around 1982 that had a large snow pile about 12-15 feet high. The local kids dug a cave at the bottom and a tunnel at the top.

Exercise and the knees

Another thing Marie of Booktoots's Weblog posted was Don’t Stop Exercising After A TKR. I'm still going through physical therapy, and may go through it for another 2-3 months. I should be able to walk around the building next door maybe around 3 months if not sooner with the assistance of a cane. I can see her point in saying that we shouldn't stop exercising. Walking is probably the best thing to do after this and even way afterwards. I had arthroscopies some years ago, and was a delivery driver around that time. That meant a lot of walking and using steps. That probably helped me out in getting back to walking quickly.

My doing water walking and using the hot tub at the local rec center before the second surgery most likely did a great job in my being able to walk further than I did the first time and head on home. After the first surgery, I couldn't even go far out of the hospital room and went on to a rehab facility for 3 weeks.

Either way, one thing that's been recommended by doctors and therapists is a heating pad. Wrap it around your thigh in a way that even the knee joint will get the benefit of warmth. Use a medium heat setting for about 30 minutes, then start doing stretches and other exercises. Using a hot tub or similar can have the same benefits. Electric blankets may sound like a good idea, but they most likely won't do as good a job as the pads. The ones measuring 12 x 24 are an excellent size. I use the medium setting for 20-30 minutes. This would be the second setting in a 3- or 4- setting control. Any higher and burns may occur in the surgical area.

I'm still not quite there in terms of pedaling a bike. I tried at therapy, but wasn't able to do the full cycle on a stationary. I'll try again, this time adjusting the seat higher.

Related post - Post-Knee Surgery Exercises.

I'm using a leg press during therapy, using 60 pounds, doing 3 sets of 15 repetitions. Check with your therapist if you're allowed to do this and what to use.

Swimming after Knee Surgery - Part 2

The left knee is still improving here and there, though the contracture on the quadriceps and hamstring will take time to improve. Booktoots' post, Walking On Gravel & A TKR, reminded me of while I was at a Florida beach recently.

While solid ground is easier to walk on, it's the uneven areas that give me some trouble. I know that will improve in time. It was a bit of slow going from a table near a parking space through the sand to the water's edge. I was able to walk into the water, but a drop-off gave me a little trouble and an outgoing wave swept my feet from underneath me. A nearby mother with young child thought it was pretty funny. From there it was easy enough to stay in the water and move around despite the waves.

But getting out took a little creativity. I couldn't just get out normally like others could. My cane was still at the table. It took me a couple tries to actually get past the drop-off. I used the incoming waves to help push me up past the drop-off. A wave came in, take a couple steps, wait for the next wave to come in, a few steps, til I was past the drop-off. Walking back from there to the table was a bit slow and difficult going, but I made it.

Pool ladders still give me trouble, but after my right knee is worked on, that should be resolved in time.

Swimming after Knee Surgery

One of the best things to do after a total knee replacement is swimming. It's best to wait til the stitches or staples are out before doing so. The water helps support you and if you trip somehow, you're not going to fall face-first into a hard surface. The other good thing is that you don't need any kind of walking aids.

When I'm swimming, I don't just water walk. My therapist recommended walking forwards, backwards, and sideways, 3-4 laps each. I've also tried slow paddling for a minute or two, then return to walking. Leg lifts can easily be done as well. Don't just stay in the shallow end. I usually go from about 3 1/2 feet of water to 5 feet and back. Sometimes I'll stay in the 4.5-5 foot area for awhile. Maybe later I'll add on the flippers. Swim shoes seem to add a little more water resistance when slow paddling.

About 20-45 minutes of this could be the equivalent of an hour's worth of exercise without making you overly tired. Just make sure the water isn't too cold as it can make it harder to swim.

I still can't quite use the ladders, though I can still use the steps in the shallow end. If the pool is large and has steps in the deep end, I can use that.

Has anyone worn a wetsuit while doing their exercises in the pool?