Wednesday, September 23, 2009

Sound Familiar? Slow and Steady . . .

Not a lot has changed. I continue to slowly increase the amount of weight and reps on my leg presses, hamstring curls and step-ups. But I’m not sure if either really impacts the pace of my recovery. I mean, it does, obviously, because my quad needs to get stronger. But I don’t feel like these exercises will “fix” my knee. The knee just doesn’t feel normal, no matter how much weight I lift or how much stronger the leg gets. Don’t get me wrong -- the knee functions fine. I walk without issues, and go up and down stairs just fine. I just can’t “explode” off it, and can’t even imagine running at this point. For example, whenever I bend past a certain point, the knee starts to quiver, like a car engine struggling to start on a winter morning. Instead of gliding smoothly like a hinge should, the knee feels bulky, like a tennis ball rests between the patella and bone wedge. Maybe there’s a bunch of scar tissue there; maybe I still need to adjust to the osteotomy. Indeed, my shin gets irritated as much as, if not more than, my knee after a hard workout. But the knee doesn't feel right. Sometimes my knee issues remind me of those old school cartoons when somebody shuts down some massive industrial machine by shoving a rod into a spinning wheel. Hopefully, time will heal whatever is preventing my knee from becoming “normal.”

As for non-knee news, I’m a huge fan of the UFC (that’s ultimate fighting; you know, the sport where guys beat the crap out of each other inside a cage). I used to watch the first UFC shows on VCR tapes passed amongst friends back in college. And then I took a break from the sport, before getting hooked again when the reality show – The Ultimate Fighter – premiered back in 2005. The show rekindled my love of violence, and this time my wife got sucked in, too. And by sucked in, I mean, “all in.” I don’t do anything half-assed. Not only did I watch the TV show and the monthly UFC PPVs, but my wife and I plowed through all the old UFC shows we missed over the past decade. And once we finished watching those, we rented all of the fights from Pride, the UFC’s then-major competitor, based in Japan. All told, we must’ve watched 50 DVDs of fight cards. Good times.

The only thing missing was the chance to watch a card live. Usually, the fights are held in Vegas. Over the past few years, however, the UFC expanded and began holding shows across the country. On Saturday, Sept. 19, the UFC visited Dallas. We were there.

Several observations. First, the ratio of guys to girls was at least 300:1. And of the girls there, I think 70% of them were hookers, or were at least open to being rented for the night. Next, the ratio of graphic t-shirts to normal clothes was 743:1. I counted. The ethnicity of the show was striking. White males dominated, with a sprinkling of Hispanics. Also, there were probably more chicks there than African-Americans. But shockingly there was only 1 fight in the crowd. Unfortunately I couldn’t see it because the Jumbotron blocked my view.

The event was loud. I mean, really loud. Almost as loud as the Guns ‘N Roses-Metallica concert I went to back in 1993. The highlight, besides the fights, was the opening video montage before the PPV aired. The AAC darkened, and Baba O’Reilly by The Who started blaring. Then the scoreboard started showing knockout after knockout, along with flashing lights and smoke. I definitely wanted to kick somebody’s ass after it was over.

The fights were fairly entertaining. The last 7 fights – the 2 shown on Spike TV before the PPV and the 5 on the Main Card – all ended in KO or submissions, 5 in the first round. But it was the very first fight of the night that was most memorable. Two relative unknowns fought before most of the crowd had arrived. The stadium was probably 50% full, at best. Because it was so quiet, every leg kick – basically, a fighter uses his shin to kick a particular nerve near the other guy’s knee – echoed throughout the stadium. Holy f*ck. Those kicks pained me. To answer Maximus's question to the crowd in Gladiator, "Yes, I was entertained."

Hopefully the UFC returns to Dallas in the future. The event apparently did well financially. 17,000+ attended, and the event generated the 2nd most revenue ever at the AAC, behind only a Rolling Stones concert several years ago. Beer sales must've been through the roof, and the lines to buy t-shirts were 10-people deep throughout the night. And maybe by the time the UFC returns, my son will be old to come with us. He's a budding cage-fighter. In fact, I keep waiting for his school principal to inform me that he choked out some kid at recess. And honestly, when I get that call, part of me will be proud (assuming he choked out a bigger kid who was bullying people, of course).

3 comments:

Jen said...

Hi Jim! Welcome to 9 months, eh? Sounds like you're doing really well, all things considered. I know exactly what you mean by "not normal", and it's something that cannot be described really. For me, it's a combination of a sensation of tightness and still some weakness, but that's not even it. I've got a chunky amount of scar tissue in the fat pad area, so that explains the bulk....but it almost looks like a knee again. But I think you've not had the issues with swelling that I've experienced. Instead, you have the joys of the osteotomy.

Have you experienced weather yet with your knee? Our first rainstorm swept through recently, and I was truly a human barometer. My knee swelled big and got stiff. Made an appt. to get it drained, and the storm blew out overnight, and with it, my swelling. Skipped the drainage. I'm not looking forward to the winter!

So yesterday I attempted my first "exploding" movements. All along, I've been working with a trainer, and mine had a knee replacement at age 40. So she's been through it all. I'm hoping to get back on a snowboard this winter (are you laughing?), and when I told her about this, we decided to start ramping things up a little. I did step-offs a small step (about 6") and had to land with both feet even and in a mini squat. That was HARD because my brain is in heavy right leg protection mode. First day attempted it was not pretty. Yesterday was better, so when I stepped down evenly and landed, she then had me "explode" into a hop, both forward and sideways. My hops were not huge nor did they feel explosive, but I was working my ass off and sweating! It felt okay, we didn't overdo it.

I then went home and iced and took it easy, thinking that was it for me for the day. Spontaneous baseball tickets came my way, and off to the bleachers I trekked. I thought all the walking around last night would cause me to swell up, but I did okay.

So as we take these small baby steps, and as I know I experience my own frustration about what limits me, I'm trying to think back to earlier this year and have gratitude for the progress I've made. It's been one hell of a year, hasn't it?

My goal now is to wean myself free of NSAIDS. I've already cut waaaaay down on icing. I've been using a cupping set (like they use at the acupuncture office) around my knee, and it's done a lot to pull swelling out and soften the scar tissue that feels chunky.

Sounds like stairs are easy for you, so that's great!
Do you have morning knee stiffness? Does it fatigue at the end of a long day? Do you still think about each step? Those are all things I still experience but as the quads get stronger, I hope this becomes less and less of an issue. I'm practicing hiking downhill in small increments, that really gets me and shows where I'm lacking strength. So much of this seems less about the knee and more about restoring all the loss of strength! Granted, I've not had an MRI or anything, so I assume the cells are growing okay....

Keep it up! Congrats on having a healthy 9 month update!

Jim said...

Hey Jen. Yeah, the knee feels funky when it rains, or when the weather changes dramatically overnight. But these sensations aren't nearly as bold as when my knee was first scoped 20 years ago. Back then, I could tell when it was gonna rain at least 4 hours beforehand. Same when I had my shoulder surgery. I guess I've lost a bit of my ability to predict the weather with each surgery. Sad, huh?

Very cool that you're starting to do "explosive" moves. Snowboarding a year after ACI would be a monster accompishment. Good luck!

When was your surgery? I just started doing some skipping, and letting myself land a bit more forcefully on the step-ups and step-downs. I've also gotten a bit more "active" coaching my daughter's soccer team, and goofing around with my son.

I meet again with my OS on Friday to review MRI #2. Frankly, I question the wisdom of another MRI 3 months later. We'll see what it shows.

Right now, the shin aches more than my knee after a hard leg workout. The knee's still a bit sore and swells a tad; nothing too serious, though. But I feel like I can't push too hard or the shin might crack.

The knee's a bit tight in the morning. It usually cracks the first time I bend it. I'm usually not fatigued at the end of the day, but the knee randomly gives out more often at the end of a long day.

I tried "running" the other day. Basically, I just jogged 3 or 4 steps to see how the leg felt. I wound up with a serious hitch in my step. Not a normal movement.

Anyway, I'll probably post again after my next OS visit. Keep in touch.

Jen said...

hey Jim, my surgery was 12/29/08. right around the time of yours, i think.

i still haven't had an MRI! my OS seems pretty damn pleased though. what's quite sad is my ACI knee is my better knee now. (My left knee also needs a patellar ACI and lateral release! How lame is that?) My left knee is pretty junky these days, even after just doing a round of SynVisc.

I've been "running" in the pool, and I really feel like that's been a beneficial activity. I had to "run" recently to avoid a parking ticket, and it was more like a spastic hobble, really realized how much mental compensation takes place to protect the knee. So the pool running has been great!

I'm with you on the morning tightness. It always feels better after moderate exercise. I'm still having to fight to keep my full extension, which is frustrating. The flexion is pretty good, I finally can get my heel to my butt with some warm-ups.

You sound like you're doing more extreme step-ups and such with weights! Congrats, those sound like big movements!

I just went on my longest hike to date, with a steep downhill. It's the downhill that really gets me, so I'm excited that it didn't suck to do!

Hope things are going well!