Tag Archives: doctor appointment

The Decision Not to Get Knee Replacements at Age 46

3 Jun

This post was supposed to be all about Day 1 of Insanity.  I would write about the difficult fit test (I was pouring sweat).  I would write about how I proudly crossed my workout off my Insanity wall calendar (I almost asked Adam to take a picture of me I was so excited).  I would write about my meals for the day, following the Insanity meal plan (I’ve been surprisingly satisfied).  I would tell you my initial thoughts and excitement (Shaun’s voice is slightly annoying, but I like the set).

Though all those things happened this morning, this post is not about all that…

This morning my alarm went off as usual and I excitedly remembered today was the day to start Insanity.  I laid in bed a few more minutes trying to convince myself to wake up.  No matter how excited I am for something, I still don’t want to wake up.  I must’ve fallen back asleep because I suddenly woke with a huge start, “I have a sports med doctor appointment this morning!!”  I completely forgot about my follow-up appointment and panicked that I was too late.  (How I remembered it in a start I have no idea).  Thankfully it was only 6:50 am and my appointment wasn’t until 8:30.  I decided to just move quickly in order to get through Day 1 of Insanity.  Adam took my before pictures and I watched the DVD.  Hilariously, step 1 was Obtain MD Consent…well isn’t that just convenient.  After finishing the fit test (I was only slightly sweaty and asthmatic), I quickly showered and went off to the doctor.

Over the last month, my recurrent knee pain has greatly reduced.  I have been going to physical therapy twice a week and performing exercises to strengthen my hips at home.  My Physical Therapist is wonderful and tells me I have been making great strides with my Runner’s Knee.  I would agree because my knees no longer ache at rest.  I’ve been feeling good and she even cleared me to start running this week (yay!).  My appointment today was with the sports med doc who originally diagnosed my runner’s knee and prescribed physical therapy.  Honestly I completely forgot about it altogether! (oops!) On my drive over I was contemplating whether or not to tell him I was starting Insanity.  After watching the intro DVD this morning I started getting really nervous.  It showed the proper form for squats, lunges, and jumps…all things my doc previously told me to avoid.  Is it possible Insanity might be harder on my knees than running?

Once I arrived a resident reviewed my symptoms and history.  He examined both knees and I explained the pain (and my decision to run 2 half-marathons sort of against doctor orders).  The resident was a runner and also has done Insanity – how convenient!  When I told him sheepishly I started Day 1 of Insanity today he just sort of shook his head.  He thought for a moment and said, “you know…Insanity will be harder on your knees than running.”  Le sigh.  I was really hoping he wouldn’t say that.  After he finished his exam my doctor came in to take a look.  He was very pleased with my progress and said that he could tell that things were looking better.  (Hooray!)  But… (and there’s always a but) my knees are still recovering and they aren’t fully there yet.  Okay.  I can deal with that.   He said it was time to start running and gave me a 5 week schedule to follow to build back up my mileage.  The first run is .5 mile just to give you an idea of where I’ll start out.  Double sigh.

Should I even mention Insanity?  He’s just going to say no.  If he doesn’t want me to run more than half a mile I hardly think he will allow Insanity.

“Well, I don’t know if the resident told you…but I just started Insanity today and I was hoping to incorporate that daily.”

Look of unhappiness crosses doctor’s face.

“Is that the one full of squats and jumping?”

I started feeling hot as my face turned red

“Yeah…”

After discussing it for a few minutes my doc agreed to allow me to start Insanity but… not bend my knees more than 30 degrees.  I also wasn’t allowed to double up running and Insanity – too much stress on my knees.  I could do one or the other.  I left with a running plan, prescription for orthotics, and a huge lump of disappointment in my stomach.  I couldn’t help but feel depressed.  My plans were all shot now!  I should’ve felt happy that my knees were making such good progress – instead I was so incredibly disappointed.

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Ignore the laughter – 2 convos at once…but you can see where Dr. Adam’s feelings are on the matter.

The rest of the morning I had a bit of a sad attitude and really didn’t know what to do.  Should I do Insanity, but have to modify like crazy and worry about my knees?  Should I push it off for a few months until my knees fully recover?  Should I try it for a week and see how my knees feel? I threw around all the options in my head and landed on what felt to be the smartest decision: I shouldn’t continue with Insanity yet.  (Noooooo!!)

My knees are just beginning to recover, I would be heartbroken if I had another setback with them.  Yes I’m a little heartbroken I can’t get going on Insanity, but the nice thing is: I still have the DVDs and program!  It isn’t going anywhere, there is no rush or time limit on finishing it.  I’m just going to have to be patient and wait until my knees are ‘back to normal.’  At the heart of things I’m a runner, and I don’t want to do anything to jeopardize that…especially after I’ve seen so many improvements lately.

So I’m sad to report that you won’t be able to follow along with the Insanity program.  No updates, no reports, and no reviews.  I always love following blogs that have goals and programs so it’s disappointing not to be able to write about that journey. But I think there comes a point where you just have to let go of ego (This is where I say get a grip Kelly…your only hard-core dedicated reader won’t care what you write about.  Hi Mom!) and do what’s smart.

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Yeah I even let this thought cross my mind…thank goodness for Adam and auto-correct.

So instead I’m going to come up with a game plan over the next few days and create a program to help strengthen my knees and my running.  I have no idea what that will look like – but I’m sure I will think of something.  Throughout the day I have felt more positive about my diagnosis, and honestly, I’m truly happy to be taking care of my knees.  I believe they will thank me some day.  And maybe, just maybe…I’ll get that sub 1:50 half-marathon.

So until I have a plan…have a happy Monday!

-Kelly