Just What I Kneeded

A llama, an Elmslie and DeNovo.


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Positive results

“Once you replace negative thoughts with positive ones, you’ll start having positive results.” Willie Nelson

Wise words, Mr. Nelson. Wise words. Though I kind of wish that, instead of sharing wisdom, you’d share your stash. That would do more for my knee pain, I’m sure.

I’m kidding! Mostly.

I’ve covered a lot this week in terms of what I’ve been doing, but where has it all gotten me? I’ve had a lot of positive things happen, and I wanted to share them here. Here goes… in no particular order.

One. I have no pain at rest. For the most part, anyway. I do get achy if I sit at my desk or in a car too long. But it’s so much better than it has been since the big surgery.

Two. I am not taking narcotics. This is a big improvement because I was taking two Norco tablets just to be able to ride my bike a little over a year ago. In order to take the Norco, I also had to take Zofran, so it wasn’t a good situation.

Three. I no longer wake up in the middle of the night because of an achy knee. Sleep is SO helpful when you’re trying to deal with LIFE.

Four. I can (sort of) kneel. Which means I can do yoga much less awkwardly than previous attempts. This is something that continues to get better and better. I expect that I will eventually be able to kneel with no problems.

Four. I can swim 1.25 miles five times a week. Doing so means that I both swim and bike on the same day. So much activity!

Five. I can bike on consecutive days. The shortest rides I do now are 10 miles. This means that I can do at least 20 miles over two days and not want to tear my knee off. I’ve done higher mileage, but I try to spread those rides out over the week, rather than on consecutive days.

Six. I no longer have to ice my knee every day! Yep, you read that right. I DO NOT ICE EVERY SINGLE DAY. My cryo cuff and I are not breaking up any time soon, but I’m excited that we have some space between us now. I still ice fairly frequently (5-6 days/week), but this is a definite improvement.

Drumroll, please. This might not seem like the most significant achievement, but trust me. It is. I can do a full extension on the leg press. Full ROM! Do you know how long it’s been since I could do that? I don’t think I’ve been able to do that totally pain-free since I broke my leg. I’ve struggled mightily with it because, once I get to a certain bend, the pain is nearly unbearable. I’d been working with PT on doing leg presses above and below the painful point in my ROM. After starting over from scratch for the umpteenth time, I am now able to do a full extension. My personal trainer helped me figure this one out. I started doing them with 10 pounds. That’s it. I would sit there and feel like an idiot as I cranked out three sets of 10 with no more than 10 pounds. I did that for WEEKS. I then started adding just five pounds per week. I worked up to 30 pounds, and it’s still pain free. I’m sticking with 30 pounds right now; I’m adding more reps rather than weight.

I really like to focus on all the positive things, but it’s not painting an accurate picture if I don’t mention the not-so-positive things. I’m not going to go in depth here, but I do want to mention a few things. Stairs are still the enemy. I still have pain in three distinct spots in the knee: the lateral side near the top of my patella, right over the patellar tendon area and through the joint line on the medial side. These spots hurt at different intensities depending on the day. I still have explosive pain during a specific ROM (roughly between 20-70 degrees). Anything outside of this ROM is totally bearable, but it’s nearly impossible to do anything that requires bearing weight on a bent knee. I’m hopeful that the progress I’ve made this year means that I will continue to make progress and will see the pain go away.

I’m planning to continue doing what I’m doing at the moment. I think it’s helping, so I see no reason to change course.

So that about sums things up with what I’ve been doing and where I am now (thanks for hanging with me as I’ve been uncharacteristically prolific with the posting this week). There have been many ups and downs already this year, but there have definitely been more and more ups lately. I intend to stay on that trajectory.

Recovery room after TTT and DeNovo NT.

I’ve come a LONG way from this!


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My way

So, no more formal PT. I’ve been left to my own devices for the past two months. Finally, truly on my own (at least in the sense I no longer have healthcare professionals telling me what to do), and I’ve been trying new things with/for the knee. I do what I want! I’ve made awesome happen. Whether that’s true or just my perception…

As soon as formal PT ended, I signed up with a personal trainer to start working on all the body parts that have been neglected as I focused on my right leg. I interviewed four different trainers until I found the right one. He asked a lot of intelligent questions and made suggestions that aligned with everything that my PT had been telling me for months. Turns out, he’s been able to help me a bit with leg exercises so that I can continue to build my HEP (home exercise program). The new exercises both help and keep me from getting bored.

My trainer makes me WORK. I can barely lift my arms as I write this because I had a session with him yesterday. I enjoy working with him because it feels like I’m actually doing something when I hit the gym. I’m no longer there to simply get through my leg exercises. In order to make this possible, I’ve had to adjust my HEP so that I didn’t overwork the knee. I’d been doing the PT exercises at least six days a week for months, but I changed that to three days a week so I could fit in time with the trainer, as well as biking and swimming.

To be perfectly honest with you, I haven’t done a single PT exercise in nearly two weeks. WHAAAAAT? True story. Well, except the stretching; I make sure to do the stretching and rolling. This fact kind of fills me with a mischievous glee. I feel like I’m getting away with something. I’m not, really. I’ve simply adjusted the methods to reach my goals. Since the top goal is to continue to strengthen the leg, I’ve added fins to my workouts in the pool, and I’ve started riding small inclines on the bike. I’m able to push myself more in these ways because I’m not pushing it with the HEP.

At this point, I’m swimming 1.25 miles four days a week. I hit the gym three days a week to do strength training. I also make sure to fit in a few bike rides every week because that’s the one thing that makes me incredibly happy and helps clear my head. For the first time, I’m learning to incorporate active rest days. These are helpful because I don’t feel as though I should be doing something when all my body really needs is rest and time to repair itself.

Now, if I’d stop self-medicating with cupcakes and fro yo, I’d probably lose the weight I gained while sitting around.

In addition to the trainer, I’ve also been working with a chiropractor for about eight weeks. I talked to a number of different people who have seen chiropractors because I’ve always been a little leery of the profession. Once I made the decision to see one, I started calling around to different offices. I found one conveniently close to my home who, in his previous practice, saw mostly athletes who had lower extremity issues. When I called and left a message with his office, he’s the one who called back. He got points for that. He also asked thoughtful questions and made recommendations that jived with what PT said.

I started going to see him, but I still had a lot of uncertainty. The one thing I didn’t want to do was make the knee worse in any way. I asked tons of questions before I even let him touch me; I wanted to make sure that he knew what he was doing. He also gets points for patiently answering every single question I ask. He’s been focusing on active release of the upper leg (mostly, the hip muscles and the hamstrings), and he’s been doing ultrasound on the lateral side of my knee.

Within three weeks of seeing the chiropractor, I could tell a difference in my leg. It’s hard to articulate, but the whole leg just started feeling better. I was noticing improvements in the way I was able to my PT exercises. For example, the hip hinges no longer pulled in quite the same way, and I was able to better control my rotation. I don’t think I ever realized how tight my entire leg had gotten while trying to compensate for the knee.

One big improvement that I noticed about a month ago is that I’m able to tolerate standing much better. I spent the July fourth weekend with family and friends, and there was a lot of activity. I didn’t do a whole lot more than stand, but I was fine on Monday morning. In the past, especially when you throw in traveling by car, I’d usually have a massive ache in the knee by Monday. It wasn’t a fluke, either. I’ve had a couple busy weekends this month, and each time, I’ve been ok. There has been some achiness off and on, but it’s much better.

I’m hoping that these improvements continue and that I start seeing more improvement in the knee during activity. I’d be happier with where I am now if I didn’t have such trouble with some activities. Take stairs, for example. They’re so painful that there are times I just have to stop mid-flight and take a deep breath before I move on. Some of my exercises still cause pain. I’m completely unable to do some things because I have a righteous pain during a specific ROM. The one that annoys me most is that I have pain when I’m in the pool. It’s not bad enough to stop me, but I have a general tightness and pain through the front of my knee for most of the time that I’m swimming laps. Good news is that it dissipates fairly quickly, and I’m ready to go again the next day.

Last thing! In addition to the trainer and chiro, I’ve dabbled a bit in massage. The first one was a hilarious experience. A friend of mine gets regular massages and recommended that I try it out. I’d never had an actual massage because I couldn’t fathom getting naked under a sheet and having someone rub me. But I was looking for new things to help my knee, so I decided, heck, why not. So I went. She gave me an “energy massage.” She did this weird thing where she barely touched me at all. She’d put one hand somewhere around my ankle and the other one somewhere higher up on my leg and just hold them there for a minute. Her touch was so light that I couldn’t even feel it each time. It was supposed to fix the flow of energy in my body, but I didn’t notice a change at all. I didn’t go back. I’ll stick to the sport massages that are painful because they’re releasing knots deep in the muscle. I don’t get naked for these; I can wear my compression shorts and t-shirt, so I feel much more comfortable.

Doing things my way has been kinda wonderful. It’s certainly been good for my mental health, and my leg continues to get stronger. Slowly, but surely. Now, I just need that to translate into total pain relief, and I’ll be good to go.

I’ll post one more update tomorrow, and then I will stop inundating you. You’ll be all caught up.


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Props to the PT

I covered a lot in my last post–roughly, from February through the end of April. If you’re in need of some bedtime reading material that will immediately put you to sleep, you can find that post here.

I truly believe that, had I not had the regularly scheduled appointment with my doc in February, I would not have had such a nonsensical route to now. Had I seen him even a week later, we would have been able to write the setback off as exactly that–a setback that I just had to work through. True, it was unlike any previous setback, but still.

Back to the point! The point is to continue bringing you up to speed.

Basically, the only thing that my OS and the two pain docs I saw agreed on was that I should continue to work with my PT. The next time I saw her, I was all, “No pressure or anything, but it’s now all on you to move me forward.” Good thing she was up for the challenge. She had to assure me several times that she wasn’t going to give up on me. It’s easier for me to maintain my motivation when I know I have someone like that in my corner, cheering me on.

We continued working to get my patella tracking correctly. Some of the things I did I’ve already covered in previous posts: working on the external rotation of my tibia, managing the tightness of my IT band, adding in more glute exercises and figuring out the bike thing. I continued to make slow progress.

At the end of May, my PT determined I no longer needed to attend formal PT sessions because 1) while I was making progress, we weren’t seeing changes every week and 2) I was intimately familiar with the program. Couple that with the fact that I don’t really need to have someone keep me motivated, and I was ready to venture out on my own.

I touched base with my PT a few times by email as I settled into the home exercise program (HEP) and did a little more figuring out of the bike thing (she grounded me from the bike). I was quite thankful for the access to my PT to help ease the transition a bit.

I’ve been dismissed from physical therapy a number of times over the least few years. I’ve never felt particularly good about it because I’ve either not believed I was at a point where I had made enough progress or I was worried about continuing on my own (I put a lot of pressure on myself). For some reason that I can’t put my finger on, this time was different. I felt much more ready to move forward on my own; I was actually kind of excited about it. I knew what I had to do, and I was (still am!) determined to make the knee bend to my will. I told my PT during the last session that, eventually, the knee would do my bidding; it would bend to my will and start behaving. She replied, “If you can make that happen, I’m going to start sending patients to you.”

I’m not sure if it’s because I’ve been left to my own devices or simply that it’s summer (likely both), but I’ve been doing more and pushing my knee further than I have in a very long time. Check out the post on my Challenge Route, if you want an example of how I’m pushing it. I’ve continued to make slow, positive progress, despite pushing it and doing more. I’ve not been entirely on my own, though; I’ve had some help that I’ll discuss in my next post.

In the meantime, I’ll leave you with this gratuitous picture of Elvis that has absolutely nothing to do with this post.

 

My rooster, Elvis.

Just because he’s beautiful.


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What the hell happened in February?

In my post last week, I promised to fill you in on what’s been going on for the last couple of months since I’ve been too busy eating fro yo to keep this blog current. This is the first post this week in an effort to fulfill that promise, and we’re heading all the way back to February… If you’re not interested in reading a meandering post that covers about three months of “stuff,” then stop reading here.

I’ve mentioned very briefly that I had a minor setback in February (you can see the two references here and here). I want to apologize now because I wasn’t completely honest with you. It wasn’t a minor setback. It was, by far, the most soul-crushing setback I’ve experienced.

I avoided talking about this because 1) I simply wasn’t ready to share in this space, and 2) I was busy meeting new doctors. I want to share this part of the journey/recovery now just in case there is someone who is walking the same path who can find some solidarity in knowing they’re not alone.

So… February. I started to have more pain when doing my PT exercises about four weeks after the scope in January. This happened shortly after I returned to work full time and started more difficult exercises. Since I didn’t have a huge increase in pain (there was a definite increase, but it never got worse than before surgery), I wasn’t terribly concerned. It sucked, but I’d work through it like all the other times.

Then my knee got swollen and hot. Really hot. Like, radiating-heat-through-my-pants hot. This doesn’t typically happen to me. I get swollen enough for my knee to feel stiff, but it never gets hot. My PT was concerned when I had pain with a relatively light touch and started working with me to control the inflammation. She had me doing all sorts of things to help bring down the swelling–icing, elevating the leg 90 degrees by putting it on the wall, massaging the knee and taping to combat edema. The knee started to respond, but slowly.

About 10 days after the first sign of a problem, I had a regularly scheduled post-op appointment with my OS, and that’s when everything went haywire. My PT was able to join us for the appointment. I thought that was good because she can articulate much better than I can what’s going on with the knee, especially in therapy. I was wholly unprepared for the conversation, but in hindsight, I probably should have seen it coming.

My OS and PT started talking about how pain–chronic pain–isn’t always due to a mechanical issue or structural problems. They started talking about hypersensitivity, and I just sort of lost focus. I listened to them, but I didn’t hear what they were saying. They said it didn’t make sense that my knee had taken a turn four weeks out from surgery–that wasn’t “normal.” They talked about central sensitization  and how that might be what was happening to me. In those brief minutes, I felt like I’d lost all control.

What they were telling me, regardless of what the actual diagnosis would be, was that there was virtually nothing that I could do to stop what was going on. To get better. This wasn’t something that I could work out in physical therapy or ride out on the bike. This was my body betraying me.

I bottomed out over the next few hours and days. I went crazy on the bike. I pushed myself way past my limits in the gym. I started swimming like a person possessed. I had decided, consciously or not, that I could will this problem away. If this was a problem with my nervous system, I could engage my brain (a pretty important part of the nervous system) to master the problem. To make it disappear.

I was pushed right up to the figurative ledge. I have to credit my PT with pulling me back and talking some sense into me. She explained why they thought it might be problem with my nervous system and helped me better understand why I was being sent to a pain specialist (not the guy who prescribed all those narcotics last year).

In the time between making the appointment and actually going to the appointment, I spent a lot of time online trying to find out more about chronic pain and its causes. I also spent hours pouring over journal articles about pain hypersensitivity and central sensitization. The more I read, the more I was convinced that this was not my problem. I had only one symptom that fit–pain.

In the end, after two frustrating appointments (frustrating because I didn’t get anything out of them), the pain specialist agreed with me. I did not fit the diagnosis of central sensitization. On one hand, I felt validated in my reluctance to accept that this was the problem. On the other, I was disappointed because, by that time, I was hopeful that she could offer some help. Instead, she essentially told me I was already doing all the things she would tell someone in my position to do. She was reluctant to offer treatment because she didn’t see my pain as chronic since I’d had surgery in January (only about 10 weeks before I saw her). She also couldn’t believe I wasn’t on some kind of narcotic pain medication; I explained that those all made me sick. So I was left with no diagnosis and no offer of any treatment.

While I was waiting for the first appointment with the first pain specialist, I went to see a different kind of pain doctor–one who specializes in musculoskeletal pain and sports medicine. He also did not think I fit the diagnosis of central sensitization. He mentioned a few things that we could try, but he wanted me to first seek a second opinion from another orthopedic surgeon just to make sure that nothing had been missed and that there wasn’t a structural problem that should be addressed. While I appreciated his approach, I’d had about enough of the OS’s. I was also making progress with my knee by this point, so I opted out of another opinion from another surgeon. The pain was still there, but it was changing… improving in some ways.

So after a few months and several appointments with new docs, I was left in the same spot I was in before this nonsense. I continued to work with my PT (one thing ALL the docs agreed on was that I should keep working with my PT), and we kept working on a plan that strengthened the muscles in my leg to help the knee function properly. In doing so, we discovered a few things like how I don’t use my tibialis anterior properly and that my IT band is tight.

I’ve skimmed over a lot of the details about the frustration, pain and even anger because this is all in the past, and I don’t like to dwell on it. I prefer to move forward.

The big silver lining to all of this is that I picked up swimming, and, about eight weeks later, I had finally managed to build my VMO to a point where we could actually see some definition. Since that point (almost three months ago now), I’ve made more progress than I made in all of 2013.

Since this is turning into a novel, I’ll wait until the next post to tell you about the other things I’ve been doing (I’ve moved into uncharted waters) and where I am today.


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The Gatekeeper (and a promise)

He calls me “sweetie.”

I don’t hate it.

Actually, he started calling me sweetie, but it’s now evolved to also include “cutie.”

He is one of the gatekeepers at my favorite Indy park, and I always enjoy seeing him and being greeted by his friendly welcome. It kind of makes my day. We bonded through the Colts’ season last year, when there were fewer people in the park during the cold weather. He always knows when I haven’t been out in a while (which, since I’m there so frequently, could just be two consecutive days), and he calls me on it. “Gotta get in your ride! Gotta enjoy this while you can!” I worry when I don’t see him. Recently, it was warranted because he had been ill. Usually, it’s because he’s been assigned the other gate. Sometimes, as he gleefully explained earlier this summer, he takes a long vacation.

We once had a deep discussion about how life moves too quickly and how you can’t let work take up too much precious time. He had noticed that I was there earlier than usual one day, and I’d copped to playing hooky. He thought that was grand and encouraged me to take advantage of opportunities to enjoy life. I think the world needs more people like him.

*     *     *

I’ve been so busy over the last two months, I’ve had trouble keeping this blog current. It no longer matches exactly with where I am and what I’m doing. So, next week, I promise to make good use of the week to publish a few posts about what’s transpired and what I’ve been doing lately. It’s mostly good news! I’ll try not to inundate you, but I do think there are a few points that might be important for anyone with similar issues who has been following along–some more about PT, new pain management ideas and going solo.

One quick update for now. I’m getting SUPER fast in the pool. I’m basically a torpedo at this point. All because I bought these bad boys.

Blue swim flippers.

Yes, that’s my bathtub. Why? Isn’t that where you swim?

Seriously, though, the fins have already made a difference. I’ve only worn them a few times, but the power it takes to move these through the water really does seem like it should help build leg strength. We’ll see, I suppose. Regardless, they’re fun because now I can beat other people (who may not actually know we’re racing).


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Challenge accepted

I should probably call this post “Challenge ANNIHILATED.” Because that’s what I did last night. I annihilated my goal.

Seven weeks or so ago, I created what I call my “Challenge Route.” Basically, it’s a two-mile loop (actually, it’s 2.03 mi) over gravel and dirt and up and down hills that I try to walk as fast as possible. The challenge is to shave time off of the total every week. It doesn’t have to be a big difference, just less than the time it took the last time I walked the loop.

I started off the first time rather tentative. I’d not walked much at all since the big surgery because it hurt to do so in the early months, and it was never part of any PT plan. I’ve also never been a big walker/jogger/runner, so it wasn’t really something on my radar that I wanted to work toward. But then, one day in late April, I met a friend for a walk on the Monon. We talked and moseyed until we realized we’d gone over two miles. We had to get back to our cars, so we ended up walking over four miles that day. That was, by far, the longest walk I’d taken. It was a leisurely pace, but it was enough to convince me that perhaps I should walk more. So I did.

Since I’m supposed to be “saving my knee for the important things,” I didn’t go crazy. Surprising, I know. I always go crazy when I decide to do something. Not this time. At least not at first.

I made the first loop on the Challenge Route in a little over 40 minutes. I was picking my way through the various paths in the woods, so it took some time that first day just to map the route. The second time I completed the route in 36:17. At that point, I made it my goal to complete the route in less than 30 minutes–roughly an average of 15 minutes/mile. I figured that should be totally doable.

I’ve been doing the route once a week for the last seven weeks, and I’ve shaved off a minute or so each time I’ve done it. I’ve been cheating lately. I’ve been JOGGING (slowly!) to shave off more time. No, jogging has not been approved by any healthcare professional, but what they don’t know won’t hurt them. I don’t jog for long distances or for much time, but it’s let me shave off more time. The repercussions are similar to a long bike ride–I have to ice all night with my cryo cuff and take it easy the next day.

Last night, I went for it. I was bored with the slow progress, so I wanted to make my goal. I completed the route in 28:53. Woo woo! That’s an average of 14:13 min/mi, if I did my math right. I realize that’s not super swift (heck, I had to do 9-minute miles in ninth grade gym class, so my inner freshman is a little embarrassed to be celebrating), but it’s tangible progress. I need a new challenge now. Probably one that doesn’t involve jogging.

Fallen tree on the reservoir.

My favorite view along my Challenge Route.

I haven’t been neglecting my PT program while working toward my walking goal. In fact, I’ve been figuring out new ways to do some of the exercises. For example, I’ve had nothing but pain and trouble when I try to do leg extensions on the machine at the gym, so I’m improvising at home. All you need to do the same is one 15-lb cat. Place said cat across your legs and start lifting. It’s highly entertaining. Not sure how effective it is. Though it’s worth noting that I can do the cat-assisted leg extensions without pain. Winning!

Cat-assisted leg extensions.

Cat-assisted leg extensions. Sorry about the poor quality pic. I was too busy trying to balance Mowgli, do the leg extension and take the pic to worry about the quality.


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Just breathe

Sometimes, all you need is the company of good friends and a stiff drink.

In between the doctor’s appointments, PT sessions, gym sessions for the home exercise program and general management of the knee (think icing, elevating and taping), I find as much time as I can to spend in the company of good friends and positive people. Though I’m a pretty optimistic person, there are occasions when I get into a bit of a funk and need the benefit of friends who lift me up. I think everyone probably has these days, so it’s not like an earth-shattering revelation or anything.

I’ve been having an awful lot of fun and positivity the last couple of weeks. I’ve tried out a few new-to-me restaurants, biked a ton (rode my fastest 5-mile split since the big surgery last week!), walked my “Challenge Route” a few times (more on that in a future post, if I remember), kayaked, biked some more, swam a total of about 12.5 miles and built a fence (more on that later, too). I’ve also been out to the lake for BBQ and boating fun (no boarding or tubing because I’m not risking an injury that I’d have to explain to any healthcare professional). It’s summertime, and I’m busy eating fro yo and living my life. Focusing on things other than my knee has been so good for my mental health.

Two friends and I spent one fun Friday lollygagging at Eagle Creek. It was the perfect day. I’m not entirely sure how we ended up all playing hooky, but I am so glad we did. We spent the morning riding around the park on our bikes, and I rode more inclines (they’re not big enough to be hills) than I’ve ridden in well over a year. I think I was more willing to ride them because I was trying to keep up with two in-shape women, and it helped break me out of my “keep-it-on-the-flat” routine. I’ve now started to incorporate at least a few inclines in every ride, and I think that will help me continue building strength.

Biking at Eagle Creek.

I’m the shorty on the left. Pretty sure LG and JP had to bend down a little to get me in the frame.

That afternoon, after a leisurely lunch at Rick’s Boatyard Cafe (I’d never been there, but I will definitely go again), we tried to go stand up paddleboarding, but all the boards were in use. We went kayaking instead. I’ve never been kayaking on Eagle Creek–so much I haven’t done there! Zip lining is next on my list of things to do. Paddleboaring is on my list of PT-approved activities. When I brought it up, she said, “It’s not the worst idea you’ve had,” which I took as a ringing endorsement from her considering her previous reactions to my grand plans. In truth, her comment was more along the lines of, “Hmm, I guess stand up paddleboarding is not the worst idea you’ve had if you can step gracefully from the dock like you’re stepping aboard the Queen Mary.” That’s a big “if,” but still. Ringing. Endorsement.

On a random and beautiful Tuesday evening, a couple of friends and I checked out a new BBQ joint in Nora, just north of Indianapolis. I’d seen it a few weeks ago, shortly after it opened in May, on my millionth trip to Huddles. It’s called The North End Barbecue & Moonshine. I figured that any place with moonshine in the name had to be legit, so I was super excited when it was suggested as the destination for our night out.

The evening started with a Moonshine Punch for me (made with Georgia Moon Peach-Infused Shine, grapefruit, honey water and rhubarb bitters). Yes, please. I can count on one hand the number of alcoholic drinks I’ve had in the last six months because I just don’t drink much, but this one made it hard not to ask for another round. The evening ended with Huddles, so… kind of perfect.

What other activities can you do without stressing a bum leg? That largely means activities that allow for a mostly straight leg. I’m not kidding about the zip lining; I think that’s doable. I keep wanting to go indoor rock climbing, but I think that might be expecting a little too much. I’ve asked PT about rollerblading several times, but she doesn’t think it’s a good idea since I already can’t control my tibial rotation (apparently not good with the movement pattern required for rollerblading). I’m working on a list. In the meantime, I have more fence to build.

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