Monday was D-Day for Sports Girl – Doctor Day that is. She went back for her third follow-up exam following her MPFL reconstruction surgery back in mid December.
Except for being told she could immediately resume all her former activities without risk, the appointment couldn’t have gone better. The doctor did say that her left patella (kneecap) is now completely stable with less shifting than even her right. And the x-ray showed that the kneecap now sits straight on her joint rather than presenting with an outward tilt as it did before. The x-ray did, however, highlight the two metal screws she now has permanently implanted in her left kneecap, but these have left no lingering effects, thank goodness. If we hadn’t seen them on the x-ray, we might not have believed they were there!
Sports Girls’ quadriceps, however, are still obviously smaller on her left leg than her right in spite of undergoing more than 15 30-minute physical therapy sessions over the past two months and completing exercises on her own almost daily. Rebuilding and toning muscle takes time, and the doctor says resuming physical activity now would put her at risk for other injuries such as an ACL tear. He recommends another four weeks of physical therapy and exercises to further strengthen her leg and better protect her knee before she starts working out or competing in any sports.
The doctor wants to see her again on March 29 after she completes four more weeks of strength training, so running in spring track is off the table at least until then. And we are all OK with that, including Sports Girls. She’s been through too much already to risk any unplanned setback. It’s more important that she get back into shape over the summer, so she’s ready to play high school soccer come August and high school basketball after that starting in November.
It will be equally important, I think, for her to strengthen her right leg, as well as her left. While the doctor says he doesn’t personally know of anyone who has required the same MPFL surgery on both knees, he has known patients who’ve had subluxation or dislocation issues with both knees. So Sports Girls needs to prevent this from happening on her right knee as much as she needs to rebuild her left.
Besides doing her exercises, these days Sports Girl applies Mederma to her scars daily and looks forward to the day when she can run and play ball without even wearing a knee brace and with no fear of her kneecap sliding out of place. That day isn’t too far off …