I went for my first physio session today and it was pretty good. The lady, Sally, kept me waiting 10 minutes, even though my appointment was at 9am, but she turned out to be a really nice lady. She’s probably in her late twenties.
She started off by asking me for my own story of the knee problem and then, when I mentioned the MRI scan, she ran off to go and find the results on the computer. This was good because she knew then exactly what the problem was and didn’t have to waste 15 minutes doing a diagnosis to try and find out what was wrong with it.
She did some various tests on my knee, which is quite amusing because you can see the knee cap moving in ways it doesn’t usually go and the sensations are quite funny too. In a sentence (or two), she sussed out which muscles around the knee are weak or tight and these will need to have been made strong and loose by the end of the physio. When those muscles are working properly, they should pull the knee cap back into the right place and stop the erosion. That’s the plan anyway.
She then started doing loads of exercises with me, showing how reaching for my toes when sitting with my legs out in front of me helps certain muscles around the knee. She kept throwing different exercises at me and, although my left leg felt healthier by the end of it, it was tired too.
It was interesting because, in some of the exercises, she’d ask me to do it with the good leg too, the right leg, to see the difference. If she could see that the right leg could cope with it but the left couldn’t, she knew it was a good exercise. It was pretty educational for me too. Some exercises felt simple on the right leg but then when I did it on my left, I could feel how weak and incapable I was. The best example was when she was kneeling and rested my outstretched leg on her thigh (the back of my knee over her thigh). She would push my ankle towards the ground and tell me to resist it. I tried lifting my leg up towards the ceiling but it was impossible to do anything more than balance the pressure she was putting on me. When I did it with the other leg, I practically kicked her in the head!
She spent almost an hour with me and I really felt like we’d got somewhere. She wants to see me in two weeks time to see if the exercises have helped at all. She’s also going to refer me to another department because she noticed my flat feet (I feel like Ronnie Barker in Porridge), which is worse on the left foot and could be a major cause in my knee problem.
She’s given me seven different exercises which are to be repeated a different number of times and held for various amounts of seconds. Luckily, she gave me a sheet with them on, which has diagrams and the specific time lengths and repetitions for my needs. It is called my ‘Personal Exercise Program’ (rather swish don’t you think!?!?). However, the set of exercises have to be repeated twice a day!
A couple of exercises are the typical ones that you do at school at the start of the games lesson. The stretching-to-reach-your-feet one, I’ve already mentioned. There’s only one that involves a prop and that is a rolled up towel. You have to squeeze it between your knees and then squat so that you’re knees are bent. Interestingly, when I tried this one this afternoon, my right leg hurt more than my left (?). For another one, I think is Sally playing a joke on me. I have to stand on my left leg for 15 seconds, 4 times and I’m supposed to build this up to a minute. I feel like a right idiot just standing there on one leg, wobbling for a bit. I’m convinced she thought ‘I’ll just throw that one in to make her look silly’, especially when she said I was to try and intergrate the exercises into my daily routine and stand in the queue at the supermarket on one leg and squat with the kitchen towel between my knees while the dinner was cooking. There are two exercises that I really dislike at the moment. They hurt a little and I can feel my knee, even my whole leg, wobbling with weakness when I do them. One involves not only standing on one leg but squating on it. You are therefore holding you’re entire body weight on a bent knee, which is not fun. It shakes and feels like it’s going to collapse from under me. The other involves lying on your back, straightening your leg and then lifting it off the bed and holding it there for 5 seconds. That is a long time when your knee, taking all the pressure of keeping the lower leg in the air, is weak.
I am sure the exercises will get easier the more I do them but it’s just a case of getting them into my routine so that I don’t have to purposefully give up 15 minutes morning and night to do them.
Will no doubt report on the progress.