December 9, 2008
My Head is Not the Problem
I've watched as people who had ACL reconstruction surgery after me returned successfully to karate. I've read about how ACL reconstruction people are running three months after surgery. I've been told that my problem is mental and that I need to just get back out there, suck it up, work through the pain.
It's not in my head and today I got confirmation.
My surgeon took a couple x-rays of my knee this morning. The x-ray tech seemed baffled as to what these bumps are on my leg. The surgeon needed to only take a brief glance and a quick feel. The bumps on my leg are part of the screw sheath that is sticking out, rubbing against a vein and causing pain and bruising that is preventing me from doing the things I want to do. The screws look good in my knee. The tunnel angles are all perfect. It's just this stupid sheath from the screw that is causing me problems.
It's not normal at this point. Usually, by a year out, whatever may be sticking out of the sheath has worn down and away, but mine has not. My surgeon says my leg is so skinny that he can just see clear as day what needs to be done.
The fix is an easy one, but it involves surgery. It's one incision, outpatient, and takes less than an hour. My surgeon said he would go in at the same incision, and basically shave off the part that's causing me all the trouble. I have two options: I can wait and see if it gets any better (which it probably won't) or I can just schedule the surgery.
I teared up when he said it for two reasons. One, I'm glad I'm not crazy, and that there is something wrong and that it can be fixed. But the other reason is that I don't want to go to sleep again. I don't want any more surgery. I am terrified that I'm going to be in agony again.
He said it's no big deal and that I'll just have a cut on my leg. He's not touching my knee or doing any drilling or screwing. So my choice is to live with the pain and bruising or get it scheduled and fixed.
We also discussed me not being able to run. He felt all around my knee, determined that the location of my pain is not a true Jumper's Knee so to speak, but rather a more general and annoying case of patellar tendonitis. He told me to do ice massage with my knee bent three times a day and he said it will clear up and I will be running in no time.
We left the appointment with him telling me to give him a call to let him know if I want to do the surgery or not within the next couple of weeks. He said he'll fit me in whenever I want to have it done. I want to feel better and get back to doing the things I want to do, but it's going to be really hard for me to say "yes, cut me again." I know it has to be done. I just need a couple days to wrap my head around it.
Do it. As soon as you walk out you will be glad that you did. If something isnt right it needs to be fixed . . .
I feel for you. Had ACL surgery 6 months ago and would not be looking forward to another surgery. That is a dilemma and I know the feeling of frustration, not being able to do what you want to do. Before ACL tear, karate was what kept me sane (I also have two great but energetic kids!)Is there any way you can have the surgery with a spinal (if you don’t want to go to sleep again)? I had this for my ACL surgery. Sorry to hear about this, at least now you know what is going on…
Charlotte
You need a big old bear hug. Tell your husband to give you one from me.
Go ahead and do it. You’ll be sorry if you don’t. Truly.
I know it’s a crappy thought, but thinking about living with the pain is even crappier.
That’s my ass-vice for today.
I know. It’s just such a pain in the butt planning to be out of commission yet again.
I don’t think I can do a spinal. I had natural childbirth twice because I couldn’t stand the idea of anything being in my back.
You’re so right about that.
I know I have to do it. I don’t want to live with pain forever and I want to get back to KARATE! I just need a day or two to digest it, drink some wine and psych myself up for it.
Here’s to getting a proper diagnosis. The fact that you’ve been proven right (that something wasn’t quite right) must be a relief.
When you’re ready, you’ll be ready.
It really is a relief. Now I can officially stop feeling like a wuss. I just wish the fix was easier than surgery.
Sorry to hear that the fix is more surgery. It always stinks when the solution to pain is more pain.
But consider this: if you do any sparring or self defense that involves blocking with that shin, you’d be in a world of hurt getting hit where the sheath is poking out.
Fortunately this surgery won’t involve 24 weeks of rehab, assuming you go forward with it.
Best of luck in making a decision, I’m always pulling for ya!
So sorry you have to go back to surgery. It probably seems like this will be painful forever. Hopefully it’s as easy and painless a surgery as he’s describing. And I know what you mean about patellar tendonitis. I have that in both knees and it sucks.
We talked earlier, but just wanted to add my thoughts here. Sorry it has to be surgery again, but at least there is a fix. And, dude, the epidural is really not that bad…I wish I could have one daily… 😉
Yeah, good point, not that I ever plan on sparring again, but still.
Yeah, it does suck. One thing always leads to another though. It just seems to be my life. I really questioned him on how painful it would be and asked him if we was using doctor-speak or reality. He swears it won’t be that bad. I swear I’ll beat him if it is!
See, I’d be the 1% complication person that doesn’t get relief, shakes like I’m having a seizure and can’t feel my legs for 3 months afterwards. Come on now-we both know my luck. That cracked me up though, once daily. LOL.
Mama:
I have heard many stories where this screw thing becomes an issue. People get them attended to, with relative ease.
This is NOT a re-invasion of the joint…only a little tweak with a doctor you know you can trust.
Your instincts were right all along…even when you were crying in your car. You knew.
Now…you are going to work yourself up to do this thing…and like the hero you are…you are gonna come out of it with flying colors.
A sedative and nerve block in the groin…is always an option.
~Suzan
If I could do a remote psychic healing on you from all the way out here on the West Coast, I totally. Unfortunately I lack any such power and in fact am lucky if I can apply a band-aid to myself, so gosh, I’ll just send you my well wishes via this blog comment.
Hope you mend soon, in every way.
Can’t blame you for not wanting surgery again. Not to make light of it, but this procedure sounds minor compared to your first outing. Go for it and get it over with.
Well, at least you’d be sparring again, sort of.
This is potentially great news, since it really could be an easy fix. When you said recently you still weren’t running, I was starting to worry.
I think this procedure more along the lines of wisdom teeth removal and is probably even less painful than that.
Hope it goes well, whatever you decide. So sorry you had to go through such a long, gut-wrenching process.
Definitely ask about other kinds of anesthesia. There may be no need to go completely under.
You can also get a leg block. First 2 ACLs I had a spinal and you wake up and can’t do anything. 3rd ACL they just did a leg block. Goes in right about at the underwear line where the big nerve goes. I couldn’t feel my leg for about 24 hours after surgery.
It’s also 100% useless since it can’t send or receive any signals.
My mom had the same problem as you, only with her hip. She had had a metal plate put in and the screws did the same thing to her. she had the outpatient surgery and it made a huge difference.