Sunday 5 August 2018

Plica Syndrome - Day 6 - Regrets?

Day 6 after the op (counting the day of the op as Day 0) I can start to walk without a crutch but with a big limp. There's some swelling on and off, which I realised seems to happen if I remove the light compression sleeve the doctor gave. I'll ice, elevate, and put the compression sleeve back on and the swelling subsides.


Sometimes I wonder if I should have had done the surgery. When I read online of other people who also had plica syndrome and hence went for arthroscopic surgery, their symptoms always sound a lot more severe than mine.

All I had was a persistent discomfort in the knee, the feeling that something is rubbing on the inside of the knee, and the joint gets warm and painful after I deadlift / hurts when I run. Other people have constant pain, clicking in the knee, pain when going up/down stairs. I can even play basketball/sports if I wear a knee wrap!

The problem was the discomfort didn't go away, and didn't seem to be improving after 9 months. I had 2 options:

Option A: Start seeing a new physio and try out another treatment plan (After 9 months of trying many plans) and hope it reduces and eliminates the problem eventually.

Option B: Do the surgery, then see that physio and rehab to 100%.

The problem with option A is that the recovery is not guaranteed and the problem plica is still there. Well not that option B is guaranteed recovery, but at least the problem is removed and I can actively rehab and feel progress.

My only fear now is that I don't actually return to 100%, and some lingering issue remains to haunt me. Then it will remind me of this $11+k plus 3 months of suffering (the estimated recovery timeline) wasted. oh well.

Saturday 4 August 2018

Clash Royale - Masters League!

Finally hit a new milestone today, obtaining Masters League after a pretty nailbiting final game



The deck used:

Average Elixir Cost: 3.0

The core cards I used were Hog Rider, Goblin, Zap, Musketeer - mainly because they were maxed out. I'm currently maxing out Fireball so I guess I'm stuck with that xD. Ice Wizard has saved me too much defensively, so the only 2 variations I played with were the Cannon/Ice Golem.

I've tried Inferno Tower but didn't like the lack of versatility it had - I wasn't facing Golem/LH all too often, and it usually isn't that great against Giant (due to the opponent's ability to stack other small things behind it). Cannon is all around more versatile and fits into my cyclish deck better.

The last card, Ice Golem, was a last moment of inspiration. For a long time, I was using a Level 9 Mini Pekka or a Level 6 Pekka - clearly suboptimal at the trophy levels I was playing at where most people have maxxed out cards. I thought I needed some sort of tank killer, and even considered my Level 2 Lumberjack.

Eventually I realised I needed a card that was level-neutral - i.e. performs just as well even when underlevelled. There are 3 cards that fit this bill - Ice Spirit, Skeletons (99% of the time you don't rely on their damage anyway) and Ice Golem. After a few playtests of Ice Golem, I loved how high skill cap this card was and how efficiently it trades up for things like Pekka, Prince, EBarbs, Valk, etc (basically just kite them into the opposite lane, and play a Ice Wiz/Musketeer in the middle to pick it off as it's being kited)

With the deck locked in, it was just a matter of dodging some of the deck's weaknesses - any Lava Hound deck would destroy me once they kill my Musketeer (e.g. with Lightning); Giant / Golem decks will be quite tough as I have no tank killer, and I have to rely on split pushing to win. True enough, as I advanced up, I lost most of my LH/Giant/Golem games, but thankfully I didn't face them too often in the final push.

And the one true test came in the final game just before Masters - I was 8 trophies away... and faced a Golem deck. Thankfully, my gambit-style play worked as we took each other's Princess Towers, and he couldn't really defend my quick Hog cycle pressure on his opposite lane as he tried to Golem deathball my King tower on one lane.

Yay!


Plica Syndrome - Part 3 - First Physiotherapy (Day 4)

Went for my follow-up visit with Dr Lim Mui Hong today when he replaced my bandages and checked on my wound - nothing amiss, except for the $100+ from my wallet. Will be going back one last time in a week's time to remove the stitches.

The highlight of my day was my first visit to my physiotherapist, Mark from The Physio Movement. It's my first time seeing him, and they are well-reviewed online. It's a bit too early for me to leave my review, so I'll save it for a few weeks time.

Mark is a friendly guy, trying to chat abit to break the ice. During the session, he did some manual therapy (basically some massage to release tight muscles), a 15 mins session of TENS, and he ended it off with some advice on walking with crutches (try to retain my normal walking gait, don't overcorrect with a limp), and prescribed some daily exercises to do at home.

He told me that:
- I should walk without crutches in 2 weeks
- After 5-6 weeks he may let me do some light jogging
- Back to normal activity after 3 months

I'm slightly disappointed with the recovery timeline, as my informal Google search showed some people who actually went back to normal activity in 2-4 weeks. Oh well, have to trust the process and just pray for speedy and FULL recovery!

The general progress so far is some slight improvements in knee extension over the past 3 days. Knee flexion entirely depends on how much swelling there is in the knee... today there suddenly seemed to be some swelling so my sub90 knee flexion became a very tight 90. Bearing weight on the knee is still quite uncomfortable, though I can generally survive on one crutch, even no crutch if I limp hard.