Showing posts with label knee surgery. Show all posts
Showing posts with label knee surgery. Show all posts

Sunday, June 15, 2014

Snip snip

Tomorrow marks 6 weeks since I had the bilateral medial meniscectomy (double knee surgery). Basically, one of the little pads that protects the bone surface between the femur and the tibia/fibula on each of my knees had a tear in it, and that tear had a little flap that was floating around my knee causing inflammation and pain. The surgery is fairly straightforward and uninvasive (while still cutting me open...). But, lets step back a bit first.

My left knee has bothered me off and on for the last 10 years or so, possibly from a hockey injury, but I can't remember an exact event when it started. Every now and then it would let out a loud pop and then hurt for a few days. For some reason I guess I thought this was normal and never had it looked at. Then, when bouldering in Squamish one day last June, and walking between problems, I felt like my right knee needed to pop (similar to how one would pop or crack their knuckles). A few hours later, I could hardly bend my leg at all due to the swelling and pain.

The next day I booked a physio appointment to try and find out what was up with my knee. I saw physio for a few sessions as we aimed to solve what was causing the swelling. At first they thought it had to do with the alignment of my knee caps so they had me doing some exercises trying to correct that. I guess my left knee began to compensate for the right and soon I had two very swollen and sore knees. The physio began exploring other options, one of which was a torn meniscus, that could be causing my knee to be sore. They did a simple test of pushing my heel to my bum while twisting my foot laterally and, low and behold, it hurt. This was enough for the physio to suggest I see a doctor to get referred for an MRI.

This is when the waiting game started. After getting a referral for an MRI, I had no clue how long I'd have to wait. "We will call you closer to the date" was all I was told. Then, one morning in July (2013) I received a call from VGH Radiology Department: "We are currently scheduling MRI's for December 2014, but we have a cancellation tomorrow morning at 6AM, can you make it?" Heck yes I can make it, like anything is more important than NOT waiting 17 more months...

The MRI was pretty neat - they put me in a big tube that made retro video game noises for half an hour. One week later I received the MRI report which showed positive for a complex tear of the medial meniscus in my right knee. With this I was able to see my GP and get a referral to a surgeon. I was referred to the Rebalance MD clinic in Victoria. Rebalance has this neat concept they refer to as FAAST - First Available Appropriate Surgeon Triage. You can choose to be referred to a specific surgeon, or, like in my case, you can choose to be referred to their FAAST system. The patient is triaged to the first surgeon who is available to do the necessary work. In August, I saw Dr. Norgrove Penny who did an assessment on my knees. He concluded that, in his opinion, there was a torn meniscus in the right knee. I also asked him about the pain and swelling in my left knee and, even without the MRI, Dr. Penny was able to conclude that the left was probably torn as well. I was then referred to Dr. James Stone to do the actual surgery.

I did a lot of reading online regarding surgeons beforehand and Dr. Stone had by far the best rating out of all the surgeons I found. I have to echo these same thoughts. He took a genuine interest in my situation as well as my climbing. He seems to take a laid back, yet professional, stance in his appointments which really put me at ease about the whole situation.

Fast forward half a year to May 5, 2014 and I am laying in a hospital bed recovering after having both knees worked on. My instructions were to only move when I had to, not when I wanted to, for the first 3 days, and to slowly begin to bend my knees a bit when able. After these 3 days, I began to move around a little more, bit by bit, to get some range of motion back in my knees. Thankfully, the crutches allowed me to move under my own power and I could do most things by myself. After about a week, I was able to lose the crutches and Kim and I decided to come back to Vancouver. Walking was pretty awkward and stiff legged, but it was nice to be able to move around without the crutches. Over the next couple weeks I began to gain more and more range through my legs.

Kim as my patient nurse. She removed, cleaned and reapplied my bandages daily

Walking was pretty impossible at first...but I graduated to crutches, and then free walking after a week!

Showering was also a fairly big challenge...

I saw Dr Stone again 3 weeks after the surgery for the post-op appointment. It turns out both legs had the same tear on the medial meniscus, and the little torn piece had flipped under the meniscus in an attempt to vacate the knee. This explained why I wasn't able to bend my leg all the way - I had a piece of meniscus blocking it! Dr Stone said that, aside from the tear, my knees were "pristine" which was really nice to hear. He still stressed no climbing or other leg intensive activities until the 6 week mark.

I am now nearly 6 weeks post surgery and the knees are feeling fantastic. I am able to ride the stationary bike without any pain, and the swelling has reduced almost entirely - I can bend my legs well past 90 degrees now. Despite not being able to climb, I have kept busy doing some core work outs and training on the hang board. It has been pretty hard the last few weeks as I keep hearing about my friends sending all their projects. I am super stoked for them and cannot wait to join them on the next projects.

Kim and I working core and upper body strength on the monkey bars at the playground by our house!

Hanging out at Paradise Valley while Cory, Kim and Marc are bouldering

Our main focus over the past couple weeks has been checking out vans. Our trip is growing closer at an alarming rate and we really need to focus more on the van situation. I have a feeling camperizing one is going to take us a lot longer than we expect, as neither of us really have any experience doing anything like it. We're both super excited to be creative and make it livable though. We've test driven some really nice vehicles, and are feeling pretty close to making a decision...hopefully within the week. As I'm now allowed to start climbing (gently) again, we'd better find a van soon, as it'll be hard to trade off one activity for the other!

-Graham

Friday, September 27, 2013

The days of summer


It has been a whirlwind of activity for us this summer, both in climbing and otherwise. I spent 85 days in the field again near Vanderhoof, BC, collecting bird, beetle, and vegetation data for my Master’s research. It was a fantastic summer, however unfortunately the flat interior forests offer no opportunity for rock climbing.

Graham spent the summer in Vancouver, and had high hopes for a strong climbing season. In an unfortunate twist of fate, however, he ended up with a torn meniscus in each knee, leading to a halt in all of his usual activities. It was difficult to cope with the ruling of “no climbing”, and he did sneak in a few sweet sends, such as his first true onsight V7 (Styx in Squamish). To make matters worse, his double injury went mis-diagnosed for 5 weeks, after which opinions from several doctors remained inconclusive. While waiting patiently on the 18 month MRI waitlist, Graham got a call in mid-August to let him know there had been an opening for an MRI the next day. We are sooo lucky and happy we got that call, because the MRI results finally confirmed a complex tear. The fantastic doctors at Rebalance in Victoria have now put Graham on the waitlist for a bilateral arthroscopic surgery. Both knees at once. Can’t wait! And on the brightest side of all, Graham has been given the go-ahead green light to continue climbing in the meantime! Apparently he can’t worsen the injury, so it is simply a matter of pain management and listening to one’s body.

In an attempt to distract ourselves from the lack of climbing we have been working on crafts and home preserves. Drying food and canning fruit is getting us excited for the fall:

In early September we built a coat and key hanger with my dad from a beautiful piece of pine-beetle and fire affected wood that I collected this summer.


We have also just moved into our new home, and have been working hard to organize and settle in. The place is in a beautiful 100 year old house, which also happens to be conveniently located right near the Second Narrow’s bridge – fall Squamish climbing here we come! Although the weather hasn’t been too promising so far, we have made a couple trips to beloved Squamish so far this month. A huge highlight for me, was that I (finally!!) sent my first Squamish V4! Atlas, in the Grand Wall Boulders.

The rains are now arriving and threatening to hold us back on our projects (Graham: Vultures Circling  and Free Will; Kim: Mrs. Negative), but we are still excited for a stormy wet fall, and will make the most of it while we can.

All for now!