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Health Joint Replacement Mental Health Wellness

The Chaos, and Beauty of Change

Total Knee Replacement has been one of the best thing that has ever happened to me.

What? Yes, you read that right. 

It took the chaos of the recovery of bilateral joint replacement for me to appreciate the beauty that can be found in change- and how to embrace change for the best.

The “me” before joint replacement was perpetually in pain. I had been in pain for so many years, I didn’t realize how bad the pain was.  It was my everyday.  I woke up in pain, it amplified as the day wore on, I fell asleep in pain.  That was my everyday.  It was my “normal.”

Thankfully, Nothing Lasts Forever.

Now there’s the “me” after joint replacement.  I wake up, plant my feet on the floor and take a millisecond to register that there is NO PAIN. That makes a even a cold, gray day seem brighter. I walk and move and exercise and stroll and climb stairs and walk some more- and if I feel pain- it’s usually just a twinge or so every now and then, and that’s a change, my new “normal”- just a little reminder to possibly ease up a bit.  And I’m thankful.

Change is a necessary, natural part of life.  Finally making the decision to undergo joint replacement is a big one.  Let’s get real- joint replacement is elective surgery- not emergency surgery.  You will certainly live without having your knees or hips replaced.  Is this change necessary? Maybe not life or death necessary, but for me personally, it was quality of life necessary.  When making the decision about whether or not to have joint replacement done, look at your current quality of life.  Is there room for improvement? Do you believe improvement will come once you have healed from the surgery?

Change leads to growth.  You’ve done your soul searching, you feel this change is necessary, as I did.  You agree your quality of life will improve if you have this surgery, you have made the decision to do it.  Now it’s time to grow through what you go through.  The changes this surgical experience brings along are potentially big. You are strong, and you will be prepared for the changes and embrace them.  Finding a support system is the key for this.  A friend, a group, someone you can bounce questions and feelings off of.  You will need a sounding board and if possible someone who’s traveled the path before you to offer advice as you navigate your own journey.

Change can be challenging and uncomfortable, yet beneficial. There’s that growth part! Move out of your comfort zone and make it happen.  It most certainly won’t be easy- but that should never be the reason why you don’t try. Keep moving forward. Even slow is forward. You will get there and you will be better than ever once you get there.

Change is best dealt with by keeping your mind open, be inquisitive, don’t be afraid to experiment. Unless you happen to be an orthopedic surgeon, it’s not likely you are going into this with any true expertise in the field.  Ask questions.  Understand the procedure, understand the recovery, understand what is expected of you.  Experiment, within safe limits of course, with your recovery. Every body is different and will heal differently.  What worked well for me, may not work for you.  Different approaches to a problem may yield different short-tern results, but as long as your medical professionals approve, how you get to the finish line is not as important as getting there.  Just listen to your body and your medical team. Try your hardest not to compare yourself to other patients. You will heal- on your terms.

Change can be trans-formative. I recently came across a quote,” If nothing ever changed, there’d be no butterflies.”  When I think about the transformation my joint replacement surgery has provided me- both mentally and physically- it is overwhelming! It makes me smile. The pre-surgery “me” never would have believed these changes would have ever been possible. The post-surgery “me” knows just about anything is possible if you just try.  Put yourself out there, give it a go.  Without a doubt, the most incredible transformations of mind and body will come from a process you put your entire self into. Again, finding a good team to coach you through is key. Like minded folks to help you to your finish line.

Change builds character. Change teaches you a whole lot about yourself- sometimes good, sometimes bad- take that time to reflect on what the change is showing you- and amplify the characteristics you want to see. Do you like the person who your are changing into? If not, stop right there. Regroup. Revisit what it is you don’t like. If we’re talking physical issues, be sure to trace beneath the surface, as hard as we work physically, if we don’t correct our minds, we’ll never correct our bodies. 

Change brings about new beginnings. New opportunity.  Sometimes new struggles.  How you tackle them is up to you. Another quote, “Life is 10% what happens to you and 90% how you react to it.”  How are you going to process the changes that come about? Will you feel the acute post-op pain, recoil and decide you won’t go to physical therapy? Or will you take your prescribed pain medication, go to physical therapy, work to your best ability and get stronger every day? If your new joint needs an unexpected revision a few weeks after your initial surgery, will you let that slide you into a deep depression? Or will you brave the revision, work through the additional therapy and get that joint moving the best you possibly can with the help of your medical team, and possibly even find someone to start talking to about your feelings?

Change is foreign, change is difficult, but change can be liberating and truly refreshing. I hope you embrace your change.  When your OpportuKNEEty Knocks, I hope you listen!

Be Well,

Laurie 

By Laurie Trezza

A Registered Nurse, turned Personal Trainer, with a specialization in corrective exercise, I bring a unique perspective to the world of fitness. I have journeyed through joint replacement, weight loss and other obstacles, all of these experiences shape the trainer I am today.

This concept was created out of a love and appreciation for movement. I'm sure you have heard the cliché, "You don't know what you've got 'till it's gone!" I kind of experienced that in reverse.... Let me explain...

As a little girl I truly despised running and moving quickly- any game that required speed and agility was just not for me. I gravitated to slower, low impact activities- movement was really just the worst. Why? My knees hurt after a short time of running or jumping. No one really knew what to tell me, they'd shrug it off and run away. I was just "no good" at sports. Despite my lack of fast motion, I did remain pretty active.... but those knees!

As I got into my college years, I finally went to a specialist. He refused to even image my knees. I was "too young" for any type of issue he said. "Take an anti-inflammatory, get some more exercise and ice afterwards. You'll be fine." he continued. That was not what I had been hoping to hear. Maybe I was oversensitive. Oh well.

I graduated from college, got my first job as a Registered Nurse on a busy telemetry unit in a large teaching hospital in the NYC metro area. I got married, a few years later had my first baby, then my second.... then number three (oh, and bonus! it was twins!!!!) Still... those knees.... worse, worse, and worse....

The final straw- at a party, I met another mom, also carrying twins, as we chatted about all things twin pregnancy related, she squatted down to the coffee table below us to retrieve a snack.... Whoa!!!! Her baby-filled belly was even larger than mine (she was further along than I was) and she got up and down like she was an American Ninja Warrior! There was no WAY I could do that with my knees!

Once the babies were born, and life was humming along at a relatively normal-insane pace, I found another orthopedist. He listened, imaged, and found that indeed, my knees were a disaster. For a number of years we played with all types of treatments to prolong the inevitable... total knee replacements.

The year I turned 40, I was given one of the best gifts ever... a pair of titanium and polyethylene prosthetic knees! The surgery was difficult and painful to recover from, but the results were truly life altering.

Since recovering from my total knee replacements (TKR's), I have re-discovered exercise and movement again. It does NOT have to hurt. Exercise and movement does not need to be high impact and harmful to your joints to be effective in changing your body composition and changing how you feel. Exercise and movement absolutely must be, a part of your life to keep you fit both physically and mentally.

Newton's law of physics... "A body in motion STAYS in motion."

I had no idea how impactful motion would be on my life, until I could move without pain. It has made such an incredible change for me, I decide to make it my livelihood.

I've tied my nursing background in with my life experience with joint replacement, and looped that with a certification in personal training and specialization in corrective exercise. I am focusing this work to help others like me- who may be struggling to regain motion and emotional control after a difficult surgery or other life-altering situation.

Physical activity is the most under-utilized antidepressant out there, and in my observations, it seems we have a society that is more depressed than ever. Focusing on movement to better the body, mind, and spirit, that's what my work is about.

Grab YOUR OpportuKNEEty and SHINE!