Mark Moeller: Another Check in on Mark’s TKR Rehab

Mark Continues to work hard on the rehabilitation processes associated with Total Knee Replacement surgery.  Here is another BLOG entry from Mark….

Just a quick update on my progress > I was able to get rid of the forearm crutches exactly 2 weeks after my surgery. I was  also able to begin stretching out the doses of pain medicine at 2 weeks as well, from every 4 hours to every 8 hours. At Post op week 3, I was able to cut down the pain meds to 2 x daily. It is still difficult to get comfortable while sleeping. I usually wake up every couple of hours and try to get comfortable again. I have not been too concerned about the restless sleep because I still have not had to go back to work yet. If I need a nap during the afternoon before the kids get home from school……I can!  My staples were removed 3 weeks following surgery and the incisions are  now fully closed and I am able to soak my knees in the tub. The heavy feeling in my thighs is gradually reducing and I am achieving better quadricep control. I am now 4 weeks out of surgery and walking fairly well. The biggest problem that I am faced with is limited Range of Motion and stiffness in my knee that was replaced. I would still describe my left knee as feeling like “cement.”  I am having a very difficult time getting my knee to bend…. even just to 90 degrees! I have been working my ROM daily and have been have been stuck around 95 degrees. My world record is now 101 degrees but that is completely MAXED OUT. My quadriceps muscle feels as if it is going to rip off my quad tendon. With all my prior knee surgeries, I  have usually been on the tighter side and have always had to work hard to get my ROM (“Range of Motion” for those of us not in the business) back. However, this time is definitely the tightest and stiffest my knee has ever been! I have had to rely on assistance from Janna and Andrea to lean on me a little bit just to make any progress! I have been able to ride the stationary bicycle daily , but I still haven’t been able to get rid of a hip-hike on my left side when I get to the top of the pedal stroke. It still hurts to do it, but I suppose it is a hurt so good type of pain, I know that I need to do it. I still do not have great standing endurance yet. The longer I am on my feet, the more my knees swell, get stiff and hurt. Overall, I feel I am doing well….. just having a ROM problem at this point. I will keep you posted on my progress.

 

Until next time…

 

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Mark Moeller…Two Weeks in on Total Knee Replacement Surgery

It has been two weeks since my surgery! The longest two weeks of my life but…..I am continuing to make steady improvements. The worst part of everything for me is having to take all the medicines. It just makes me feel like……well,  like crap! I have extended my time between doses of pain medicine from every 4 hours to every 8 hours +. I am moving around better  each and every day. I am still using forearm crutches to assist in walking, but I can now go up a set of stairs step over step! Coming down stairs is still nothing to write home about, but I am slowly improving. I actually took the stairs up into PT today at Alpine Sports Medicine for the first time. My knees  still feel very, very  stiff but I am continuing to work on it at home with  the CPM machine daily. It feels as if there is no way they will ever get bending easily again! It feels as if they have been set in cement!   I have just been able to sit on a stationary bicycle and get the pedals to go around the whole pedal stroke…granted the seat is up a lot higher than normal and I have my toes pointed down all the way….but it still counts! The staples holding my incisions together are scheduled to be removed in 1 more week. I can’t wait, as they make me feel kind of like Frankenstein.  Still the toughest part is just an overall lack of energy. Even the simplest things take a lot of energy to perform. I am basically just wiped out most of the time. I still have not shaved my face yet because I just can’t tolerate standing up for a full 5 minutes in one place to do so. Anyway, despite my moaning and groaning, I am continuing to make slow, steady progress. I will try and update everyone on my progress periodically. Check back soon for more.

Mark Moeller: 2 – 3 Days Post TKR Surgery

Hi everyone!  This is my first chance to write a little bit as to how surgery went. Most people probably know that I am barely a computer guy let alone a laptop guy. Anyway, surgery went as well as could be expected. My doctor told me that my knee was a lot worse looking inside than expected. I think that is pretty typical as X-rays and MRI’s can never really tell the whole story. I was pretty nervous going in to surgery which surprised me a bit. I was wide awake at 2:00 am the night before and I did not have to be there until 9:30. I  managed to shoot  some video clips with my trusty Flipvideo camera throughout my hospital experience (Check it below) > and NO …my physician did not take his hands off the tools to shoot some video in the operating room!

I decided to try a spinal block this surgery so I could compare versus the standard General anesthesia route I have always taken with previous surgeries. I had always been concerned about hearing or feeling  anything or coming to during my surgery in the past….therefore I always opted for  general anesthesia. Well, I must be getting wiser the older I get because the spinal block was awesome. Absolutely nothing to be afraid of pain wise getting the block in ( bonus) and had much less anesthesia drugs im my body. I had no recollection of anything at all until I was in the recovery room at 3:30 pm . But the best part was that I had absolutely no pain at all when I woke up. My lower body was numb which meant ZERO pain!  For about three hours I felt great….really tired but great. When everything finally wore off, I just transitioned to the pain pump which I could self control whenever I needed to use it.

I stayed in the hospital for three nights following my surgery and ended up having a hard time managing my pain levels to the point where my functional level was acceptable to my physical therapist. Too high a pain level when you try to exercise or get up and walk just translates into minimal performance. Thanks to my PT for relaying her observations of my declining functional performance to the medical staff which resulted in some medicine changes which ended up resulting in a night and day improvement in my pain and functional performance!
Let me also tell you that having both knees operated on at the same time is a lot tougher! There is no better side to help out on. Also,  both of my knees feel about the same from a pain  standpoint . I had a Total Knee Replacement surgery on my left side and was just having a plastic liner exchange on my right (basically an oil change). But post-op, they both hurt about the same which kind of took me by surprise.
I am back at home now and just trying to take it easy and recover. I am having a hard time trying to keep ahead of intolerable pain levels which become instantly apparent when I try to get out of bed and walk to the bathroom. It is not very pretty! (Meza, Jason and Kenny can get a pretty good visual as they had to drive me a few hours to the hospital after a dirt bike crash a few summers ago. I still feel bad for those guys who had to deal with that one!) My bedroom currently looks more like a medical supply warehouse. I have CPM machines, GameReady machines, Polar Care machines and a nightstand full of medication bottles. Anyway I am doing well overall and just wanted to write a little about my experience thus far undergoing Total Knee Replacement Surgery.
It is definitely a big one!!!
I will keep you updated. My plan is to begin physical therapy treatment at Alpine Sports Medicine this coming week!

Tanner Hall Working to Increase Core Strength.

Tanner Hall, Building Core Strength
Tanner Hall, Building Core Strength

For those not in touch with the world of freestyle and big mountain skiing, you’ve maybe never heard the name Tanner Hall.  In the ski circles, Tanner is big time, big time like Rock Star status in the sport – the guy has multiple X-Game gold medals, been voted male skier of the year by Powder Magazine (you get the idea). Unfortunately, he suffered a very serious injury to both of his legs last spring, requiring surgery on both of his knees.

So it goes without saying, it’s pretty cool to have Tanner engaged in his Physical Therapy at Alpine Sports Medicine here in Park City, UT, and the team is excited to get him back on the hill as soon as possible.  His primary therapist is Janna Mann, but Tanner has been working with Jason Morgan (a certified strength and conditioning specialist) on his days off from PT to work on some strengthening of other areas on the his body.  This work outside of his PT on his knee is what we will be discussing in this entry.

As a freestyle skier, Tanner and other athletes are constantly beating on their bodies, working on new tricks and pushing the envelope is what this sport is all about.  The nature of freestyle over the last decade is progression in spinning (and flipping), a lot of off-axis stuff (body parallel to the ground).  “The spinning and twisting falls area big component of what we are addressing with building Tanner’s core strength,” Jason stated, ” we want to give him a stronger posture which will give him more rotational stability.”  Jason went on to explain that the rotational stability and core strength will not only help with control of his body will frantically spinning in

Keeping Tanner Seated Reduces Interference with the Physical Therapy on his Repaired Knee(s)
Keeping Tanner Seated Reduces Interference with the Physical Therapy on his Repaired Knee(s)

the air, but also when there is the dreaded ground impact his body will withstand this better – minimizing potential for injury. As you can imagine, working with the medicine ball and doing these twisting exercises would put a lot of stress on the knees, Therefore Jason is focusing on techniques and exercises that reduce or minimize any weight on the knee(s).

We will continue to update the progress of Tanners rehabilitation, so watch right here as we help get Tanner back out on the snow.  You should check Tanner out at his new website as well, current info, videos etc…. Check it here TANNER