3 Week Post Op Update- 1.4 CM
It's been exactly 3 weeks since my surgery and things have been getting better everyday. Just had my first post op visit with Dr. Robbins (he does the surgery together with Paley) and I'm exactly where I should be, lengthened about 1.4 CM, legs are symmetrical. Seeing that x ray with your legs longer as an indicator of progress is a great motivator. With 1.4 CM under my belt I don't 'feel' taller, but I think once I cross that 1 inch threshold things will change. Things have been challenging but you feel the progress, above all else, IMO this is a mental challenge.
Pain
Week 2- This week was tough but you power through it. Pain hovered around a 3 to 4 throughout the day, peaking at a 5 or 6 that I would attribute to acute post surgery pains. You're sore, weak, and still adjusting to LL life, everything feels foreign, and every movement amplifies the pain. The highest pain points for me were around my knee, where I'd get a shooting, throbbing pain randomly throughout the day. Definitely difficult but manageable with OTC Tylenol, you just grind through it.
Week 3 - Pain gradually gets better day by day, probably averaged a 2 to 3 throughout the day. The post surgery acute pain starts to fade away during this week and is replaced by a dull pain that I would describe as more annoying than painful. Imagine coming home from an all day long hike on a hill with a steep incline with your legs tired and sore- this is how it feels all day. After a couple weeks of LL experience under your belt, your mind gets sharper, you learn how to manage the pain, what movements hurt, and you adjust and adapt.
As I kick off week 4 of my journey, it's getting better and I'd say I'm at a 1 or 2 throughout the day, sometimes 0.
Sleep
I'm averaging about 5 hours of sleep a night. Restlessness, which I would describe as more of a nagging discomfort rather than a pain, will wake you up after 2 or 3 hrs. I'm unable to sleep on my sides, and have to stay fixated on my back with my legs straight so tossing and turning isn't an option.
When I wake up, instead of fighting it, I'll just stretch, or warm up my legs, and ease back into sleep.
I don't feel sleep deprived yet, but we'll see how it goes as the 5 hr nights start to compound.
Tip: Heat pads work wonders with helping me sleep. The heat is really soothing and numbs the pain and nagging restlessness. Tylenol PM has also been a great aid.
Mobility
I'm still using my walker, but I'm moving around just fine at a decent pace, with a good gait and a proper heal to toe action walk. When using my walker, I'm limiting the amount of weight I put on the walker/arms, and just using it as a guide/balance/safety more than anything. I would say I'm putting about 90% of my weight on my feet now. In the next few days I'm going to try to move to a cane.
Getting up from a seated position has gotten way better since week 2. Earlier, I had to rely entirely on my upper body to get up from a seated position, now I primarily use my legs with a little help from my arms.
I consciously try to walk around at least 3x a day to 1) build strength and 2) increase blood flow to help prevent the risk of blood clots / pulmonary embolism (scary stuff that can lead to death.) I also find that walking around is good for the mind.
Flexibility
Maintaining a disciplined PT / Flexibility routine is key. Stretch, stretch, stretch like it's a full time job. It's a constant battle to not get stiff, and to stay ahead of the curve you've got to stretch hard. If you take a break from stretching, you definitely feel it and pay the price through stiffness and challenging sleep. I'm stretching 3x a day, with each session bordering 1 hour and experimenting with more sessions / lower duration. The Paley PT's took my measurements last week and I'm doing above average with my range of motion, but I feel like it's going to be an uphill battle from here the more I lengthen as I can feel the stretches start to get more difficult the more I lengthen.
The PT's at Paley will give you a variety of exercises to do at home which focus on strength and stretching. Personally, I'd dedicate more of your time to stretching rather than strengthening as you get most of your strength back simply from walking. As I'm doing this alone, it's difficult to get a full stretch by yourself, so when I'm at Paley's PT and tell them to push me to the limit.
After stretching you feel much better- you just feel a lot looser, way more mobile and get a little sense of accomplishment.
Mood/ Mindset
Like I said earlier, for me, above all else this is a mental challenge. The physical pain is tough but you just grind through it. Mentally, this process will test you, especially if you are doing it solo with no contact with friends/family like I am. LL is a journey with a huge transition/adjustment where you have several WTF am I doing moments. Imagine going from pre-LL w/ a relatively happy life, where you get a sense of purpose and accomplishment from work, dopamine hits from seeing friends/sxx with women/going out/working out, to going to this LL life where every day is the same, you sleep, wake up, stretch, go to PT, eat, stretch, eat, sleep, repeat....... huge transition.
You're isolated, and have to actively train yourself to not let things get to your head. I haven't had a good dopamine hit since this journey started, and the highlight of my day is either PT or hanging out with other LL people at the hotel. You want time to go faster but the pain/stiffness/lack of sleep just makes time feel a lot slower.
Pre LL I considered working remotely, I'm glad I didn't. It would be hard to be a high performer at work while doing LL as the process puts a strain on you mentally with the lack of sleep, medications, and dull pain + the unpredictability of when the pain will hit. I think my performance would definitely suffer had I decided to work remotely.
Tip: The best remedy to prevent getting lost in your head is staying busy and active around other peopld. I would not recommend doing this alone like I am. If you can do it with a friend or family, definitely do that. The best aids in helping the time go by is being social. My source has been hanging with other LLers here at the hotel. I'm going to try to transition to other activities like books/hobbies but you are just tired and dealing with dull pains to get really excited about anything.
Welp that's it guys. The best part about this stage is you get a sense that things keep getting better day by day, and you are starting to see the progress with the lengthening.
In my next update I'll try to go over recommended purchases for the LL journey based on my experience so far.