Wednesday, September 28, 2016

One Step Forward, Three Steps Back

Today I had a follow-up visit to Dr. Michelle Wolcott. She is my orthopedic surgeon. Orthopedic surgeon, you ask? Yep. Things have gone from better to worse, to better to worse since we last posted.

Growing out of my butt issue, came a knee issue. Extreme tightness and pain behind my knee which got so bad on two occasions that I would get 2 - 3 miles out on a run and have to walk back. The first thought from my usual Doc, the magnificent, Carly May, was Popliteus muscle (my thought too). So just before she went off to vacation time, we scheduled an X-Ray. That X-Ray, instead, returned a finding of some mild arthritis. Really? Some "mild" arthritis after 50 years and 109,000 + miles of running? As I stated in the last blog, I'll take that after all this time.

I existed on a crutch for a few days and was progressing nicely until I was demonstrating a stretch and went to use my left leg to get up and the knee completely collapsed under me. I'm good, generally speaking, with pain but this was pretty, stinking, big time, painful. Back to the crutch, and off to see an orthopedic surgeon to find out what the problem really is.

A new set of X-Rays were ordered as orthopedic surgeons have their own way they like to look at things. Dr. Wolcott ("call me, Michelle") didn’t completely ruled out a possible meniscus “weakening,” although, she found no reason to think a tear was present after a thorough examination. We spent a lot of time discussing cartilage and looking at my x-rays. I have “a good amount of stuff” floating around in my knee and while it could be cleaned up through arthroscopic surgery at some point, she was not thinking that is the immediate problem. Her general conclusion was (and I had her let me record it) was: 

“You don’t really have arthritis but the cartilage is starting to crack and break down a little bit and that’s causing friction and some swelling in your knee. Because of that swelling the muscles aren’t firing quick enough on impact to support the knee and so the feeling of weakness and pain.”

She gave a couple of immediate options, and to tell you the truth I don’t remember them. I did opt for the steroid injection. I'd never had an injection in my knee before so I was a bit apprehensive. She got it done quickly and frankly, I really didn't notice it happening. My knee was supposed to be numb for a bit and if I was feeling ready and had no issues after 48-72 hours I should try a light, short run. SO, I did. This was two weeks ago.

I pretty much shuffle jogged day one (the third day) and decided I was pressing my luck. I took another day off and then hit the woods in the Cherry Creek State Park for 3 miles (flat, soft, wide trail - just what the doctor ordered, so to speak). Not pain free yet, but not bad. Over the next 6 days, I ran 3,3,4,0,3,5 miles. Then after the okay 5 miles, I went to open the door for someone at Walmart (that'll teach me to be a gentleman at Walmart), and my knee just gave out. A shot of pain up the side and OUCH.

Clifton 3 by Hoka
In the several days to follow, every time I would stand or move in a "not perfectly straight, supported manner," I'd get the pain. So today, I was back in for follow-up with Dr. Michelle. The check up was quick, as the immediate plan was MRI. She is believing the issue now to be a degenerative meniscus tear, but is open to whatever is found. We discussed the options if that, or something else concrete, is found, including surgery. We'll see about that.

In the meantime, I ordered a kick ass pair of Hoka Clifton 3's. They arrived yesterday. I'm waiting to run in them.....

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