A tight morning

Headed into therapy earlier this morning so Lynne could sign the shirt. I also passed along an extra Jack ball. Hit the bike for 10 minutes and then some patella mobs. Pretty tight. 10 minutes of wall slides, hitting 110, so we're staying in that range. Lying in the prone position, Luke then gently bend my knee to a little beyond 90 and back down to extension, about 4-5 times. Flipped over and then did extension holds into 90 flexion 5 times. Then slide forward to the end of the table, and did ankle raises, 10, using the biofeeback machine. Then Luke, in some form of punishment, put his knee under my ankle and then had me hold a psuedo-straight leg raise. Ow. The JAS brace was REALLY tight today - lots of stress on the back of the knee, I could only wear it for 5 minutes, and then after a brake, another 10. We switched to a Jobst boot, a big blow up boot that helps compress the entire leg to push swelling out of the knee and then finished with 20 minutes of ice. Hung out another 20 minutes or so and then Steadman swung by and said 10-110 was good, and swelling is still expected at this point.

Luke and I had a longer conversation about swelling. he said it was really normal and wouldn't be surprised if I still had swelling 3 weeks out, since the medial release can cause some decent trama. This area likely drained to create swelling behind the knee and is potentially causing some extension restriction. Also, the soft tissue like tendons haven't been stretched to full extension for over a year, so reminding that tissue isn't not supposed to be at 10 degrees will take some time. The other area that has some pain is where a good chunk of scar tissue was removed, and the tissue is still rubbing again one another as it transitions through the range. Dirk also suggested that I spend some additional time on the bike while here at the condo.