Osteotomy Scar update, 2 years on

In January 2018, I underwent a Tibial Osteotomy operation in the UK. I had been suffering from the onset of arthritis on my right knee and needed a solution that would avoid a knee replacement operation and get my life back to some level of normality.

Oh, the memories of the metal plates supporting my tibia. I keep forgetting, its major surgery

With Covid-19 lockdown restrictions still in play in the UK, I have tried to keep up my fitness and exercise regime. Getting back on to my mountain bike and cycling on quiet roads on a sunny day, are great! I have been logging my activities on Strava and have covered 250km per month since march; not bad considering I cycled 200km in total between 2018-2019.

The activity I miss the most is weight training. The loss of muscle mass around my knee is telling and some pain has returned. At least the gyms reopen in July. I guess I lack motivation of weight training at home as I really want to get out of the house for a change of scene; especially when working from home.

I wanted to share the status of my operation scars. If you are part way through your recovery journey, it may serve useful to set some expectations.

My initial tibial Osteotomy was in January 2018, and in March 2019 I went back to hospital to remove the metal plates and screws.

As a reminder, this is my leg post operation:

metal pins applied where incisions were made below the right knee

What the scarring looks like today

Scarring shows up in the summer but not as prevalent

I am left with a 7.5 cm scar and using Bio Oil (or similar products) has helped in hiding some of the blemishes. The a vertical cut (as seen in the previous picture) and is barely visible. I am still experiencing loss of nerve sensation on my shin, but you get used to it.

Until my next post – I wont leave the next post too far away.

Maintaining an exercise routine under COVID-19 lockdown

In January 2018, I underwent a Tibial Osteotomy operation in the UK. I had been suffering from the onset of arthritis on my right knee and needed a solution that would avoid a knee replacement operation and get my life back to some level of normality.

If you enjoyed reading my blog entry, don’t forget to like, follow, share and comment!

The last 4 weeks has forced all of us to live in the ‘new ‘ world and having to adapt to social distancing. For me, work is no different as I mainly worked from home and used tools like Skype for Business and Teams for meetings anyway. If anything, the working hours have started to get longer.

To exercise and to keep muscle strength at a decent level has been a challenge as my Gym has been closed for 4 weeks now. I have been doing some basic weight training and keeping the strength in the knee. I have started to feel the pain in the knee though and do miss the gym. It never goes away completely.

I did fix up my mountain bike ( got a decent TREK 6500 MTB from 2011) and have been cycling every other day and am able to clock up about 60km per week. I only have 45 minutes for lunch but fewer cars on the road does make cycling more relaxing.

In addition to the cycling, taking yoga classes (via Youtube) is helping with the stretching and muscle building. If folks are thinking Yoga is lame, I urge you to have a go, you will use and stretch muscles you never knew were weak. For stretching muscles in the legs and simply doing the breathing exercises does help relieve knee pains. I may start to do Yoga every morning (starting next week!)

2020 and finally seeing the difference after my Osteotomy

In January 2018, I underwent a Tibial Osteotomy operation as I had been suffering from the onset of arthritis on my right knee and needed an alternative to a knee replacement operation.

In 2019, I went under the surgeons knife again to have the metal plates removed from my leg. I am writing this blog to help others who may be starting their own recovery journey

If you enjoy reading my blog entry, don’t forget to like, follow, share and comment!

Its been a while since my last post in December 2019. The rubbish winter in the UK has been extremely wet and damp, I did miss the snow. 2020 is my year to be surgery free and to get stronger.

At work my role changed to become the regional lead for the Microsoft Azure Professional Services practice for DXC Technology (large American IT systems Integrator). This does mean longer hours but at least I am able to work from home.

Working from home has allowed me to visit the gym more frequently and for 2 -3 days a week, I focus on weight training and it really has helped. The key exercises that made a difference are shown below.

Hamstring building
Leg extension

I did have to take my time and build up strength gradually.

Prior to my operation, I never focused on leg weight training and it was only when I went through Physiotherapy the physio explained the impact of muscle mass improving stability and stamina.

For me it has helped with better leg movement, reduction of swelling and increased stamina. As the months have elapsed I have noticed the difference.

I am probably at 75% mobility in my knee and the pains have substantially decreased (but still not gone)

Cycle or Running event ? decision made…

In January 2018, I underwent a Tibial Osteotomy operation in the UK. I had been suffering from the onset of arthritis on my right knee and needed a solution that would avoid a knee replacement operation and get my life back to some level of normality.

It has been a long time since I posted a blog, recovering from an umbilical hernia and then getting mad busy at work have caused distractions.

This is the second year of operations for me and requiring time to recover (removal of metal plates from leg and then an umbilical hernia repair) just makes things look shitty as you are forced to make life adjustments to make sure recovery is good. Now I have clear runway to do more challenging things..

I met with a good friend this week who wants to do a few triathlons, 10k runs and cycle sportive in 2020 and he got me excited – however a reality check is needed.

So…I have been scratching around on what I can do physically….I’d love to take part in running. I can run on a treadmill but road running is painful. Also my knee is still suspect to heavy workouts…if I walk more than 8km, I feel swelling and pain. I have been adding muscle mass to compensate but the pain is still there.

Cycling it has to be !

Maybe a few 30 and 50 Mile events in the UK for starters that commence in March. At least there is a target and a training plan to make up; from now until then..

Later in the year, would be great to take part in the UK Coast to Coast cycle, a few days on the road on a MTB. See here

Some days I feel like I can swim, bike and run, other days it feels like I need to get an electric bike and pretend to burn the calories.

Guest Blog : Climbing a Mayan pyramid at Coba, Mexico

This weeks blog is written by my daughter Priya, a budding blogger still at school.If you enjoyed reading her blog entry, don’t forget to like, follow, share and comment!

Hi I’m Priya, and l recently visited Mexico with my family. When my parents told me that I was going to Mexico I imagined white sand beaches, poor WIFI and great beach selfies. Little did I know that Mexico had hidden wonders scattered all over the country.

I could have stayed chillin’ at the beach!

In my previous blog I talked about visiting Chichen Itza in the Yucatan Peninsula, which is a Mayan ruin and one of the new 7 wonders of the world. On the tour to Chichen Itza, our tour guide told us pay a visit to two other locations, one being Coba and the other Tulum. As a family we chose to go to Coba because we were able to climb the main pyramid.

From where we were staying in Playa Del Carmen, Coba was about an hour away compared to Chichen Itza which was almost 3.5 hours!!

Going to Coba was a quick journey, so for most of it our tour guide was giving the history of the Mayans and the ruins. When we arrived, our guide told us it is a mile walk to the first pyramid and it was already 35° Celsius and it was getting hotter, so next to the visitor center were ‘tuk tuk’ bikes. They took us all the way to the main attraction.

Before we got to the pyramid our guide told us some information. I have found some hyperlinks which is similar to the facts and knowledge our guide shared with us https://www.locogringo.com/mexico/ways-to-play/mayan-ruins-archaeological-sites/coba-ruins/

The reason Coba was such an experience was because you can climb the pyramid. The central pyramid is 137 feet tall and has steps which are at least a foot high and extremely uneven so I suggest wearing trainers.

The view from the top is amazing, the surrounding areas is completely flat and other ruins can be seen poking above the tree line. On the way back from the pyramid on the ‘tuk tuk’ our driver took us round to the other ruins as he said we wont get to see them in the our tour it was a great experience going on the ‘tuk tuks’ and I highly recommend taking one instead of walking as it also helps the local people out as they are the ones taking you.

Our Tuk Tuk ride

Another great thing about Coba is that you are in the middle of the jungle and so there is tons of different wildlife. I saw lizards, gecko, loads of locusts and an eagle!! It is a great opportunity to see different wildlife in its natural habitat.

I am glad I went on this trip as I learned that Mayan civilization was advanced for its time but they died out quickly and suddenly, however a lot of their past life is there for us to explore and learn. I really enjoyed climbing the pyramid at Coba – it may not be open to tourists in the near future so if you have a chance to visit soon, go there before it becomes a site like Chichen Itza.

Thanks for reading

Returning to the operating table – removal of metal work. Osteotomy concluded

In January 2018, I underwent a Tibial Osteotomy operation at the One Hatfield Hospital in the UK. I had been suffering from the onset of arthritis on my right knee and needed a solution that would avoid a knee replacement operation and get my life back to some level of normality.

If you enjoyed reading my blog entry, don’t forget to like, follow, share and comment!

Returning in 2019 to remove the metalwork

The osteotomy had given me a lot of improvement. The physio work and muscle built around my knees in the gym has given me 90% of my life back. The knee issue hasn’t gone away but I feel so much stronger, some pain does remain but this differs from day to day – that’s just the ageing process!

RHS shows healed bone

As the metalwork in my leg did irritate me from time to time, I took my surgeons advice and booked myself in to have the metalwork removed on 27th March 2019. Mr Minhal Chatoo would be my surgeon again. He was brilliant.

The metal work extraction procedure would be a day case. The procedure would take up to 1 hour to remove the screws and plates. Due to the nature of the operation, I would be under general anesthetic, meaning the time in the operating theatre increases to allow for the time to recover as well.

Upon arrival and being allocated a room at the hospital, one of the nurses came in and read my BP, went through standard paper work, handed over a gown, pants and socks – I’m not sharing any pictures of that!

Shortly after, the anesthetist came round as well and confirmed that Mr Chatoo would be operating on me as the first patient of his day.

Mr Chatoo came in to mark my leg before the operation and we had a light hearted conversation. He mentioned the operation is very quick and low risk so was happy to proceed.

Once he left, I was taken downstairs to the operating theatre. As I walked down someone talked me through the procedure again and kept me assured.

Once I was asked to lay down on the bed, I was connected to the ECG and given the anethestic. In seconds, I was out.

Coming round after the operation

I felt groggy after the operation. It was about 10:20 am as I noticed the clock. They showed me the metalwork that was removed from my leg – 2 pins 4 inches long, 3 screws 3 inches long and 6 other smaller screws. They told me I was unable to keep the screws due to protocol; though I wish I could have kept them as a souvenir…

The pain was unbearable and the nurses gave me strong pain killers. 20mins later, it still felt bad so they gave me more – but I think it was codeine. 

Shortly after I was taken back upstairs to my room and Loiza was sat waiting. 

I remember falling in and out of sleep and still in pain. To me, this felt much more painful than the osteotomy last year. 

It took a while for me to eat lunch (soup and a sandwich), just the tiredness from the drugs and the pain. 

I remember the Physio “Saul” visit . He got me out of the bed and made me go for a walk. We made it to a stairwell and then down a flight of stairs. He did say the pain will be high but I will need to get moving sooner. The recovery period would be :

  1. Next 2 days full rest and some movement
  2. Use crutches for a few days after that
  3. Walk without crutches thereafter
  4. Keep moving and apply icepacks if there is swelling

The recovery period was a lot shorter but I kept in mind that there was a deep cut, stitches and several holes in my tibia that would take time to recover.

I was able to walk however I was very tired due to the drugs. I made it back to the room and then met Mr Chatoo again. I remember him telling me that he placed “wax plugs in the screw holes!” to reduce the bleeding from the bone. 

Mr Chatoo also said the operation was uneventful- this is good news.

I rested again and of course, fell asleep. When I came round again I was still in pain and was given more painkillers. 

The nurse mentioned that I could be discharged once Mr Chatoo comes round at about 5 pm. The discharge was quick and easy and everything was set for me to go home.

I was wheelchaired to the car – We drove home in my Audi. The ride was great as I was glad to be going home. 

When I got home, we took the picture below.

I was exhausted. I slept in Aroon’s room and was out as soon as I hit the pillow. I know I woke up in the middle night and Loiza had to help me to go to the restroom – it was still to early and I was unsteady on my feet – the drugs were not helping and as it transpired I had a bad reaction to the codeine.

Coping with Tibial Osteotomy months 8 to 12

In January 2018, I underwent a Tibial Osteotomy at the One Hatfield Hospital in the UK. I had been suffering from the onset of arthritis on my right knee and needed a solution that would avoid a knee replacement operation and get my life back to some level of normality.

So our family holiday in August 2018 was amazing, we ate, shopped and visited many attractions around the Chicago lakeside area. Going for a bike ride on the lakeside was my favourite experience.

We were lucky that our hotel had an indoor basketball court ( well, Chicago is home of the Bulls) so I was really able to test out the progress of my recovery and it was a success! I was able to play 1on1 with my son – run, jump, turn and shoot and it felt great!. We were in Chicago for 10 days and we played every other day. It had been over 2 years since I was able to engage in a physical sport in that manner, so this was a massive achievement for me.

In terms of strength building I was able to spend longer in the gym and I felt stronger than possibly 2 years ago. I was making a real effort to lose weight and to change my diet. Over the summer I did notice that if I drink alcohol, I do felt aches and pains the day after – so the message here is to drink sensibly ! 🙂

As the UK weather in autumn/ early winter changes to being colder and damp, I noticed the metal work causing me pain in the areas where the plates and screws were.

Sometimes there was swelling in the area and soreness around the scar but taking ibuprofen eased the pain.

Oh and in October, we decided to have a short holiday in Athens, Greece. Strong recommendation from me and the family!

To get to the Acropolis you negotiate a steep climb and in places, over uneven surfaces. Great fun!


Flying post Osteotemy and managing pain in the USA

In January 2018, I underwent a Tibial Osteotomy at the One Hatfield Hospital in the UK. I had been suffering from the onset of arthritis on my right knee and needed a solution that would avoid a knee replacement operation and get my life back to some level of normality.

In April 2018 I traveled on business from London, UK to Detroit, USA – a journey with 2 connecting flights and over 15 hours of combined travel time.

I do like the F250 type truck, this one will do also!

In my previous blog, I forgot to mention that I continued taking pain killers such as standard Ibuprofen, Paracetamol (when needed) and calcium tablets. The purpose was to manage the pain; after 3.5 months, the swelling and pain was still prevalent, advice from the Physio was to take the tablets when needed; pain management is key, you cannot be a hero as the healing process is still ongoing.

So on the flight over, I did not sleep, I kept moving on the aircraft. I decided to work on my laptop standing up and it really worked. When I landed in Chicago (1st stop) I was able to walk OK and the swelling was not bad. I did get some assistance from ground staff, which was great. At my next check in for my flight to Chicago, I boarded first, placed my crutch in the compartment above my seat and rested up. The rest of the journey from the Airport to the hotel was uneventful.

As soon as I did get to my hotel room (around 2pm), I crashed for a few hours and then drank a lot of water. Again, no pain!

A fancy head, in a restaurant!

As I adjusted to the timezone and to the extended work day, pain management and rest was key. The key thing was not to slack off but to keep to the routine to date. I was also conscious of not acting like I was a special needs case – If I needed to use the crutch I would otherwise I would try to walk and ensure my posture was correct. Its so easy to get back pains, impact the good knee or develop hip joint pains; a symptom of overcompensating.

I have seen this building in a movie shot in Detroit, the city is changing by the way; more gentrified

Tibial Osteotomy photo review – Post op to 6 weeks after. Part 2

In January 2018, I underwent a Tibial Osteotomy at the One Hatfield Hospital in the UK. I had been suffering from the onset of arthritis on my right knee and needed a solution that would avoid a knee replacement operation and get my life back to some level of normality.

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As a follow on from last weeks blog, I am sharing photos taken from pre-op to 6 weeks after. During the process of finding the pictures after 12 months and knowing that I am much better now, it does bring memories back of the journey of recovery and change. When you are in the moment, it is tough but as I noted in a previous blog, the human bodies capability to repair is incredible. The is light at the end of the tunnel!

Day 3- 5 Swelling and bruising


#After 3-5 days, expect bruising and discoloring to appear – the healing process

Days 6-8 I want to remove the bandaging!!

So in total I have 16 metal clips. Awesome!

Days 14 Metal Clips are out

Removal of clips are not that painful. Now I can think about Physiotherapy

Week 5-6 and the wound is healing well!

Healing in progress and Physio kicking in.

I hope the helps you out there. If you have any questions shoot me a message. See you next week!

Tibial Osteotomy photo review – Post op to 6 weeks after. Part 1

In January 2018, I underwent a Tibial Osteotomy at the One Hatfield Hospital in the UK. I had been suffering from the onset of arthritis on my right knee and needed a solution that would avoid a knee replacement operation and get my life back to some level of normality.

For this weeks blog, I am sharing photos taken from pre-op to 6 weeks after. On creating this post, you have to realize the human body has amazing recovery capabilities, the repairs to the bone, muscle, tendons and skin are simultaneous!. When you are going through it on a daily basis it can feel like sh!t – don’t worry, you will get better!

Pre-Op mark up

Pre-op and before the leg shaving, Mr Chatoo marked my operating leg.

Post Op – compression bag on leg to reduce swelling

May be 2-3 hours after i came round from the op, you cannot feel a thing.

After 1 day, compression bag removed

There is a lot of bandage, but where is my other leg?

Day 2 – Getting ready for home, remove the bandages

This is the best part, time to go home.

Looks like I have run out of space, stay tuned the next post will continue the journey.