I started physio yesterday. I’m having it twice a week; one session for the ankle and one for the knee. We started with ankle yesterday and I can’t really walk today. The physio got me to lie face down on the bed massage table thing and he grabbed my foot and tried to twist it off the bottom of my leg. Now that it’s all titanium, you can’t break anything it’s just the pain thing so I told him to go hard out because I could handle the pain and I just want to get going again. He warned me that the ‘safe word’ is STOP and not ARGgGGGHHWDHHHHHhhhhhhhhhhhhhhhh because it was going to be a bit of a hard restart so I got through it with lot of ARGgGGGHHWDHHHHHhhhhhhhhhhhhhhhh. Needless to say, my pain threshold has gone up considerably over the last few months.
Your body adjusts really fast and you end up with your ‘good leg’ really strong from hopping around and the damaged leg all floppy and without muscle tone.
first steps weight bearing- feels like walking on marbles- kermit the frog styles
I was surprised how much of the physio is on your quads and your gluts and hips but I guess it’s getting all the scaffolding and balance back to normal. Without the crutch, or one crutch which I use to take the weight off the damaged leg, it feels like you are going to flip backwards like being on a snowboard.
It takes about six months for the bone to grow back and 18 months for all the tissue and muscles and stuff to get back to normal. The tibial nail will stay in forever so it’s a life-long injury. Insurance companies love it when you tell them that and you can hear the team of ‘Rehab Services’ people, which is insurance company code for ‘lawyers’, go really quiet when you say ‘life-long injury’. Keeping it simple works really well with them too. I’ve found that by ending every sentence with ‘…because your client drove a car into my leg’ makes them super happy and they just want to rush off the phone and go outside to celebrate or something- they just can’t contain their joy.
We still have to watch the skin grafts on the front of the leg and make sure that the open wound from the reconstruction is healed up properly. A community nurse from St Vincent’s hospital comes and visits me and changes the wound dressing which is pretty ace. Wound care technology is pretty sensational.
I have a hydrogel called Flaminal Forte that goes on the wound out of a big toothpaste tube and that gets covered with this cool silicon gauze stuff called Adaptic (some surgeons like Adaptic, some like JeloNet or this other dressing called Mepitel but Adaptic has smaller holes so less bacteria gets in and the silicon stops it sticking to the wound) and then a big nappy thing called Zetuvit that protects everything and then a compression stocking to hold it all together. The swelling stays around for a really long time so I have to try and elevate it but the reconstruction is happy and the circulation seems to be working and it’s not all purple like it was a few weeks ago.
So tomorrow, it's the knee's turn at the physio- ARGgGGGHHWDHHHHHhhhhhhhhhhhhhhhh
3 Strengthen the feeble hands,
steady the knees that give way;
4 say to those with fearful hearts,
“Be strong, do not fear;
your God will come,
he will come with vengeance;
with divine retribution
he will come to save you.”
5 Then will the eyes of the blind be opened
and the ears of the deaf unstopped.
6 Then will the lame leap like a deer,
and the mute tongue shout for joy.
Water will gush forth in the wilderness
and streams in the desert.