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Monday, February 29, 2016

10 days post ACL reconstruction

Day 10


Stitches are out! Saw my doctor and he was impressed with my ability to hit a 110 degree heal slide. He said my quads look good. Prior to the visit I have been riding the stationary bicycle to help with my mobility at a resistance of 7. I think a reason why I can bend my knee well is because I have been putting the seat as forward as possible and pedaling to get that flexion I need. My doctor told me not to use any resistance, but I will ask the PT what to do and if it is ok to use a little resistance.
"Be patient" is all that my doctor really said. I asked how long before I can be certain that the graft isn't going to mess up. He said 7 months. That sucks. Looking at my journal from the first ACL rehab experience, I was able to lightly pivot and hit pads 14 weeks out. I am going to wait as patiently as possible and start at the 14 week mark. Thats on June 3rd. It seems so far but I can focus on other things in the mean time. Like, standing and very slowly focus on my footwork (fwd/back/lateral) and very slowly shadowbox the way Miriam always told me to do even before the injury. As for hand speed. I am just going to have to sit and do that to ensure I don't pivot.
I will strengthen every part of my body and focus on my diet so that way when I am cleared I will be ready to jump into sparring and eventually fighting. I am going to devise some kind of conditioning/training and meal plan to help keep me focused. 


Milestones: 

No crutches and no brace. I am supposed to wear the immobilizer but I dont. I will ask my PT what he thinks tomorrow.
110 degree flexion 
Planks no longer hurt
Balancing on one leg is fine

Goals: Walk normally because my right knee is hurting just as much as the left. 

Day 7 
Drove myself to PT this day and flexion is 90 degrees.
Rode the stationary bike very slowly for 7 minutes.
Stretched out.
Knee extension using 17 lb weight
Balancing on leg, arm pulls and then later ball tosses
Monster walks with resistance band
Lateral side step with resistance band

Day 5 
Walking without the brace feels weird but when I did it at pt in the am I felt confident and I did it. Walked down and up the grey strip. I need to bend my knee more when I walk. 
Active flexion is 78 and passive flexion is about the same. Extension is still good.
Leg raises: i need to work on flexing the quads and raising the leg with the leg at -10 deg.
Flexion: on my belly, do a hammy curl and use my right leg to hook and pull it toward my butt. 
Planks: plank with one leg raised. Try planking with the left leg supporting and raise right leg. 
Step ups with no weight are a go 
Knee band exercises are a go


Day 4 
90 degrees flexion 
Full extension 
Leg raises and leg extensions on point 
Walking without crutches but with the brace


Day 3 
post op visit
45 deg flexion 
Full extension 

Day 1 
I didn't take any Percocet but did take two doses of the naproxen. Still can lift leg but it does feel heavy. 

Day 0
Took two percocets one at 3 and one at 9pm
Able to raise leg but at 9.30 pm it's starting to feel heavy



Wednesday, February 17, 2016

Pre-ACL Surgery Checklist

Its Wednesday and surgery is Friday am. Bathroom is clean and bedroom is neat enough for sanity.  Heres things to do asap if you are a procrastinator like me....do it tonight or tomorrow!

Can't take a shower for the first 3 days...
-dry shampoo 
-wash cloths 

For when I can shower, but still can not wet my stitches:
-saran wrap
-tape

Clothes
-shirts
-hoodies
-loose pants that can fit over the big ass immobilizer
-shorts
-loose fitting clothes that are comfortable 
-put clothes somewhere easy to get to (need to do!)

Food (need to prep!)
-no junk food. Healthy foods only! Don't eat like shit. Eating clean promotes healing...so eat good and feel good.
-for me: chicken, kale, sweet potato, oat bran, fruits (banana, berries), almond milk and protein shake
-crackers and ginger ale for upset stomach just in case
-3 or 4 gallons of water to cover the next few days

Prescription is set up already, so no bs at CVS Friday

The night before:
-charge ipad, laptop, bring papers to read, lab notebook
-buy a bag of ice to put in the freezer
-meal prep
-wash anything last minute
-pack clothes bag 
-eat something thats not greasy and gross before midnight. No food or drink after midnight!

Day of:
-clothes bag
-pillow in the car
-paperwork and id
-crutches and cryo machine are at the hospital waiting for me

The rest I am doing on the fly. But, I think all bases are covered.