Swelling

... and just when I thought everything was peachy clean.

Last night my surgical knee had extra fluid in it. I'm not even sure when it got there as I didn't notice until I was about to hit some zzz's.

The past week:

Tuesday: Personal training - Worked entirely on jumping / plyometrics
Wednesday: Surgical Knee was sore going up / down stairs
Thursday: Personal training - various strengthening routines for quad / hamstrings
Friday: same soreness as Wednesday.
Sunday: Played high level ultimate frisbee game. Although knee was sore, no pain / instability / swelling after game
Monday: pain in knee when going up / down stairs. Most it's been since surgery. Although not unbearable, still unusual.
Monday-night: Noticed my knee has more fluid in it than normal (since surgery)

Currently, there's very little pain when going up/down stairs, no loss in range of motion, no instability. Just a little bit of extra fluid / puffyness.

After doing some research I think it might be overuse and/or scar tissue irritation. But either way, I'll be taking a break over the next 2 weeks and give it time to relax. It's also possible my patella isn't tracking 100%. If it doesn't get better, I'll see a doctor / physiotherapist in the new year.

8 months post op!

99.9999999% back to feeling normal! My ultimate game last Sunday made me realize how much I've forgotten that I injured my leg. Which is a good thing as we're playing a higher level of ultimate now.

Personal training continues twice a week (30 min sessions) until my two legs are equal. My surgical leg is currently 1/4 inch smaller than my good leg.

I've been doing warm-ups before each game and haven't pulled my hamstrings since.

Stuff that has improved over the past few months:

• still a large spot below the knee cap that is partially numb, but I'm slowly feeling it again.
• the catching problem doesn't happen anymore, although I can sometimes feel like it wants to catch. It's a lot less noticeable now.
  
• the tingling in the toes only happens when I wake up, no longer during the day and it's quite minor now.
• size difference between my two legs is only 1/4 inch now. (down from 1/2 inch)
  

Goals for the next month are:

• Don't be tearing no ACL!
• Keep my legs strong!
  

7 months Post Op

Over the past month since being given the go-ahead for sports, I've been playing 2 days of Ultimate a week + 2 days of personal training (30 mins of pure torture for my legs). Overall, the knee has constantly been improving, I have more confidence in my leg, and with the intense PT sessions my muscle strength is coming close to matching my good leg.

I managed to do a full field sprint without feeling like I'm using my right leg more than surgical left, although I'm nowhere near top speed. However, I ended up straining my good leg hamstring and partially straining my surgical leg hamstring. Note to self: warm up before the game. This one seems obvious but I totally forget to do it and it's extremely important.

The knee catching still happens every now and then but it's slowly slowly getting to the point where I don't remember it.

I've also noticed some muscle anomalies with my surgical leg. When sitting on the floor with my legs straight out in front of me, and raising both legs (while straight). I've noticed the middle quad muscle in my surgical leg is very pronounced, whereas the right leg has all muscles balanced. Hopefully this is nothing to worry about.

I still have skin numbness below the kneecap on the outer size and about the size of tennis ball. If it's getting better, I can barely notice. I've read that the nerves take a long long time to regenerate.

Over the next month, I'll be sticking with personal training 2 times a week to get the surgical leg equal to my good leg.

My goal for the next month is:

- Do a proper warm-up before each game!

Ditching the knee sleeve and playing too much

Over the past 7 days I've played Ultimate: 1 hour on Monday, 1 hour on Thursday, 3 hours on Saturday, 1.5 hours on Sunday and I'll be playing 1 hour tonight. I told myself not to do this, but when someone asks "Can you sub for Ultimate", I just can't say no. However, while playing, I'm fairly conservative. I'm barely breaking a sweat by the end of the game (although my legs do feel a bit tired). I'm still cautious when changing direction and going for a long sprint. It seems when whoever I'm guarding goes deep, I don't keep up. This wasn't the case before the injury, so over the next 2 months this is my goal: Do a full field length sprint and keep up with who I'm guarding.

I've also ditched the knee sleeve as it wouldn't protect me from tearing anything and it makes me aware of my weaker leg. Right now, treating my surgical leg different than my good leg is a bad idea as according to this study, I'm about 3 times as likely to tear my good leg than bad. (2.8% vs 1%). That study also showed there's no difference in re-injury if you return to sports at 5 months vs 9 months (assuming patellar tendon graft was used). Also this study showed (and every other study I've read) there was no statistical difference in the outcome of acl reconstruction if you wear a brace or a sleeve.

I played against a guy yesterday who was recovering from his second acl surgery (he's torn both legs). Since I do not want to go through this process against, I'll be sticking with Personal Trainer 2 times a week until I'm treating both legs equal.

Last Saturday I had the unfortunate experience of seeing a girl go down while playing ultimate and hear the words "I was running and then I heard a pop". Hopefully not a full ACL tear but it still makes me cringe and feel sorry for her. On the bright side, at least I know from experience it's not the end of her sports career!

So my goals over the next month or two will be:

- Get both legs equal in strength and usage!
- Full field length sprint
- Don't play so much Ultimate (this will be a tough one!)

Turning 30 and playing Ultimate Frisbee

Today was my first Ultimate Frisbee game in 13 months. It also coincides with my 30th birthday which was a nice birthday present!

Overall the knee felt fine. No soreness or swelling. And although I played a pretty relaxed offensive game, on defense I played fairly hard. It felt great to play again! I wore a knee sleeve just to remind me not to do anything stupid. I feel like I'm still using my right leg more than my left, so hopefully more personal training will help solve this imbalance, or perhaps it's just a confidence thing and I just have to become more comfortable with it. Either way, it's Ultimate season for me!

Houston we have liftoff!

- Can I play sports?
- "Yes"

Oh, what a sweet sweet word.

I didn't know what to expect going in. I figured it was a coin toss 50/50 chance of being allowed to play. I put my cards and effort on the table and had to hope for the best. After a 2 hour wait to see a random doctor in the clinic, he gave me the good news and congratulated me for graduating the 6 month mark. Tested out the ACL and said I'm clear to play. No brace and no restrictions. Just go easy on it at first. Also, try and even out the 2 legs in terms of muscle size. Out of the blue, the massive headache I had all morning suddenly disappeared.

I'll be sticking with personal training 1-2 days a week until both my legs are equal and who knows, maybe I'll stick with a personal trainer forever. I figure the stronger my leg / core muscles are the less risk of re-injury or injuring the right leg. Lesson learned: don't tear your ACL.

Now, to find an ultimate team to sub for...

6 months Post Op

Yesterday was my 6 month mark since surgery. It's very hard to believe it's been so long since the surgery, but even longer since the injury. In 2 days I'll visit the surgeon for the go ahead for sports!

Over the past 2 weeks I've been in Ireland and about 7 out of the 10 days I did 30 minute rehab exercises in the morning. I also did lots of walking and hiking up cliffs:


Overall, the knee felt good. I had to do my regular quad stretches to get rid of the knee catching. One interesting event which gave me a lot of confidence in my knee was when me and my girl Alice were running around a cliff, going up and down the rocky terrain. At the end she mentioned how I didn't have reservations about running and jumping on the rocks. It was a defining moment that I didn't think about my knee and worry I'd re-injure it.

I feel like I'm ready to play sports again, now I just need the doc's permission!

2 Days Left!

24th Week Post Op!

As I approach the final 2 weeks to Judgment Day I've started to exam my leg, comparing it to my good one. It's currently 1/2 inch smaller than my right, which isn't too shabby. Agility drills are approaching a normalcy that I'm quite proud of now. I've started to do a regular jump off the left leg and it's feeling quite normal. Walking, however, has some minor issues but overall nothing too serious. The fat pad still catches every now and then, but a quick quad stretch fixes it.

I'm heading to Ireland for 10 days and since I don't want to lose all the muscle I've gained I'll be doing 30 minute workouts every morning with a combination of the following exercises:

drop squats, one leg raise onto chair, one leg squat with other leg in front, one leg squat with other leg behind, various core exercises, jumping jacks, cross country skier, 5 plate lunge, hammie drop, squat jump onto bed, and calf raises.

Due to the fact that this is Ireland I'm going to and beer is cheap, I highly doubt I'll be doing this every morning, but this is the goal!

12 Days to go!

22nd Week Post Op

22 down, 4 more to go!

I saw my physio for probably the last time this week. I only have to come back in if I have questions. Right now all my workouts are done with my personal trainer twice a week, but I'll probably bump it up to 3 times a week to makeup for the lost physio session. My PT is a bit more charismatic than my physio... ie "Don't jump like an old lady, jump like you're athletic!". The sessions are very very intense and I find myself barely able to walk afterwords, but this is exactly what I'm looking for.

The past few weeks of PT have brought a lot more confidence in my leg. They've also brought a bit more tingling in my toes. I'm not sure if this is something to worry about or not. It doesn't affect my ability to move my toes or any part of my leg / foot. From internet research, the best guess is that the nerve is getting irritated by either the remaining swelling or inflamation.

1 year since injury

Today marks the one year anniversary since my injury and the last time I played a sport. Cutting hard one way, then slowing down, then doing a 270 while speeding up caused my knee to explode. I'm a very fast / agile guy and my specialty is stopping on a dime and changing directions quickly. I've been playing sports for years and every game I'm running / cutting hard so why did it happen that game as opposed to any other? I've come to conclude it was a multitude of factors:

1. Playing 4 nights a week - doesn't give your muscles time to heal up. The weaker your muscles are, the more strain is put on your ligaments.
2. Quad / Hamstring ratio strength - I never did any exercises (lunges) to build up my hammies. Hamstring's protect your ACL. I never built up the muscles around the knee either. I'm sure my quads were way too strong for my hamstrings.
   
3. Tight Hammies - I never did any stretching and when attemping to touch my toes I was about a 1 foot away from them.
4. Turf field + Gaia cleats - locks you into the ground. The gaia ultimate cleats I use are kind of like football cleats and they provide very good grip. However, the turf field I was on sort of locks you in, ie. there's no give. Someone I played with tore their ACL on that field too.
5. Age - I was 28 at the time. Apparently when you're 18 the ACL can handle 3000N of force, whereas when you're 30 it drops to anywhere in the low - mid 2000N's.

I've been trying to find a silver lining to this whole experience and all I can think of is that I can possibly prevent others from going through this. Yesterday at ultimate practice I showed my team the exercises I do and tried to explain how important lunges are. It's something really simple to do every morning to build up muscles to protect the knee!