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Tuesday, May 17, 2011

Physical Therapy for the Knee

This afternoon was my first Physical Therapy (PT) since my knee sururgy since almost 3 months ago. Let me start with what Dale my Therapist was telling me before we ever started the Therapy session. He examed both of my knees and mesaured both of my knees and then discussed options and out comes. Dale is a great Therapist really connects with patients and makes sure I am ok, but honstley I feel that has a lot to do with the stunt I pulled in 2009. Same Theraphy hospital just different Therapist however Dale was there the day I blew up on David. See what had happen was I was trying to talk to David and he wouldnt listen I told him if he bent my knee anymore he was going to break it yes the point was to bend the knee but you have to work it in there and not force it I have been through way to many Therapy session to know that, besides even Dale said forceing it makes it worse. So anyway back to the present time I will start with My left knee which is my good knee, Dale says anything past 100 on the scales of measurments can cause damage on knees and joints but he is not blaming me. The right knee went down so it put the left knee into over work mode and when I use full forse and log my leg while lifting I can stretch the leg 110 degrees. It may not be much now but he wants to bring it down to 100 or even lower. Dale told me today that my right knee will never be 100% and he is not even going to try to make at 100%.
 So Dale told me today that due to the fact that my misalignment of knee cap has been out of place for over a year before it showed up on x-rays  wait let me correct myself before I found a doctor that believe me and look for something. AnywaysHe felt around on the knee cap in general and what he feels from the direct knee cap he even made me feel it was strange, but the knee cap has been out of alignment for a long time and so therefore the knee cap got use to it being out of alignment. And after 1 year and 8 months of not being corrected its not so easy to just let the knee cap fall back into place. Now If the surgery would have been done within the first 6mth then it was have just slide right along. What Dale & I have felt you can feel that the knee cap was fixed however the knee cap is wanting to slide out of postion again, thats the way it has been for over a year. Dale said that he will promise that this will fix it becasue as of today the knee cap could go either way but as of 4:15pm this afternoon it was trying to slide back out of alignment. What Dale is going to do is stregthen my quads and joints on the knee but he said even that may not help. If that knee cap muscles or the knee cap itself goes any further then it will break, its not like a break you think its a break that will un do everything that was done in surgery. If that happens then another trip to the OR for me this time with a hospital stay and cutting deep into the bone and thats will be the mannual way of fixing a misalignment of the knee cap. But there is a little hope that PT will help its so hard to tell at this moment in time. ANother issue we have to watch is when you hold you leg up in a locked postion everything is suppsoe to hold itself up well my knee cap drops at a 2.5 degree, and anything over 3 means a cane or crutch for me for awhile or even forever, Dale says it is so close that if it drops anymore then he will put me on a cane. So we have to watch that as well has the knee cap.

But what makes everything more diffucult for me is my unkonwn chest tightness Dale was concerned about that and even made me rest between exercises whitch is why it took me so long in PT today he checks my blood pressue, pulse ox after each excercise due to my chest tightness.

I go to Dr Googe (Ortho dr) on Monday May 23, 2011 and I go back to PT on Thursday and maybe even Friday depends on how Thursday goes.

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