Today the visiting home physical therapist switched me from a walker to a cane, though I am still supposed to use the walker at night, or when I am tired or if I am particularly sore. The surgery was just under a week and a half ago, and the physical therapist says she thinks I’m over the worst of it. She will come for the last time on Monday, and then on Tuesday I will begin physical therapy at a local place in town, and on Wednesday I will see the surgeon and he will remove the bandages and see what’s what, AND THEN I WILL BE ABLE TO TAKE A SHOWER.
MOST of not-being-able-to-take-a-shower has not been as bad as I’d thought. It isn’t as if I’m working up a sweat, or even going outside. Every day or two I take a stack of washcloths and a lot of time, and I manage to end up feeling fairly fresh. But my hair. My hair! Ug. I tried using dry shampoo, but if anything that made it worse. I’d thought about going to a salon to get it shampooed, but the reason I qualify for a home physical therapist is that the surgeon declared me medically housebound for two weeks: I am not to leave my home, not only because I’m temporarily disabled but in order to avoid infection and illness. So then it feels iffy to leave to get my hair washed. A friend has offered to help me wash it in the sink, and that’s one option; another friend is sending me a shampooing shower cap, so that’s another option; and there is also the tough-it-out option.
The pain has been a significant issue to deal with, especially now that I am expected to taper off the 0pi0ids. I have been extremely lucky so far in life, and I don’t have experience with dealing with pain that goes on for so long. I only know how to take a pill or rest or stretch, and if those don’t work I am out of ideas. I did ask the physical therapist if there were any soothing exercises I could do (it seems as if we are focusing primarily on strengthening and upsetting the knee), and she said not really. She said heat can be helpful, but the surgeon does not want me to use heat on this incision; she said light massage can be helpful but probably not very. She said the knee is kind of a tricky joint for soothing after surgery; mostly we really do just try to strengthen it and bother it.
Right now it hurts most when I rest it, or hold it still for too long. In some ways this is an advantage: it makes it easy to get up and walk laps around the house every hour, as I am supposed to do; and it makes it pretty easy to make myself do my physical therapy exercises three times a day even though I hate them and they hurt, because moving the knee makes it feel better overall. But it makes sleep difficult. I will startle awake, NEEDING to get up and move the knee. That is not restful. And it huuuuuurts, and it KEEPS HURTING, and as I say I have led a lucky life and so I am short on coping mechanisms. If this were going to go on much longer, I would investigate coping mechanisms. But I suspect there are not many good ones: the people I know who have chronic pain do not seem to get to the point where they’re like “Yep, no big deal, just endless pain!”
By the way, if you are hoping to be distracted from an upcoming looming event, may I recommend knee replacement surgery? Other surgeries may also work. The visiting home physical therapist said she’d see me for the last time on Monday the 20th, and I thought, “The 20th. Why does that date ring a bell?”