My ACL Journey - The Injury (Part 1)

This is Part 1 of a series outlining my recovery. There’s an impressive set of information online about how best to recover from an ACL tear, but I wanted to share my own story for a few reasons. There are a few critical resources online that made an outsized difference to me that I’d like to share. I also wanted to actualize the story I wanted to tell when I got to the other side. Finally, for me it was comforting to read the journeys of others going through the same process. I hope you find this helpful and do reach out with any questions you have.

Part 1 - The Injury [this page]

Part 2 - The Prehab

Part 3 - The Surgery

Part 4 - The Early Rehab (weeks 2-7)

Part 5 - The Middle of Rehab (months 2-6)

Part 6 - Late Rehab (months 7-10)


On Feb 24, my wife and I headed to Stevens Pass ahead of a powder weekend. I was feeling strong and grateful for the season so far, and convinced myself I was ready to ride the expert level chutes with more experienced friends. My wife wasn’t too excited on the idea but she knew she wouldn’t have been able to stop me. The next day the crew and I started the day out by bootpacking to the top of a ridgeline before dropping in. I was feeling sloppy, quietly wishing I had warmed up but not willing to say that out loud. I couldn’t bootpack my way down now though. I didn’t see the exact line taken by my buddies dropping in one at a time. I nervously peered over the edge and took a deep breath. Someone said “alright, whenever you’re ready…” and I decided to go in aggressively, tips down, with a plan to turn just where the mouth of the chute opened up to a wider gully on the right.

This wasn’t the right move, at least for me. In a short distance I picked up too much speed, catching what felt like a few small inches of air before landing in the backseat. I screamed, feeling a compression in my right knee. I was doubly surprised. How did I hurt myself this badly on what looked like such straightforward terrain? How am I in such pain to have screamed? Through the burning sensation in my knee, I instantly felt ashamed I had let Leah down. She didn’t want me to be here and made that clear. I stood up and felt weak, and decided to sit back down again. My friends, now split above and below me, all waited quietly. Waves of disappointment crashed over me. I was breathing hard. I was still in shock that I could’ve gotten hurt here.

MISTAKE #1: Not warming up for a ski run, not speaking up, not watching carefully for the right line to ski down

I got up and side slipped my way down. At least ski patrol wouldn’t be needed. I then skied a few turns, one side feeling a lot more responsive and stable than the other. I was cursing myself now because this snow was amazing. I could see why they had invited me up here. Everyone was relieved to see me moving my way down despite the pain. I decided to call it a day and skied all the way back down with a friend. I was entirely fine on the groomers. In hindsight, it was the adrenaline that made me strong and dumb. This is where I could have further injured myself.

MISTAKE #2: Skiing aggressively down groomers after a knee injury

Icing the knee

When I got to the cabin at the base, my knee had swollen up and we used an ace wrap for some stability, assuming it was a sprain. I rested on the couch with some ice to cool me down. I took some Aleve and Tylenol, and the thought in my head now was whether I’d be okay to go trekking in Nepal in 6 weeks. Leah and I had been planning this honeymoon for months and I didn’t want to be the reason we missed out.

Leah drove us home. I was quiet for most of the car ride. I was embarrassed, emotionally devastated, and regretful. I had let her down but she wasn’t calling me out on it at least. When we got home, I took the stairs one step at a time, leading with my good foot. I made the critical mistake that night of wearing my ace wrap to bed. My bedtime HR spiked from a normal average of 46 to 57 because I had essentially put a tourniquet on.

MISTAKE #3: Not elevating the knee, sleeping with an ace wrap

That Sunday I was icing whenever I remembered to and decided to cut off the NSAIDs and Tylenol. I did have a mostly normal gait with a bit of a limp, still walking the stairs in our townhouse one step at a time. There were moments when I’d be walking and feel a sudden “slip” of my upper leg over my knee. It was scary, and I didn’t have an excuse for what it could be.

I realized my mistake from the previous night and slept with just my leg elevated on a wedge pillow; no ace wrap. Like magic, the visible swelling and pain was gone the next morning. On Feb 27 during a virtual appointment with my primary care doctor, he suspected a sprain and maybe minor meniscal damage. His recommendation was to use an OTC knee brace and NSAIDs and to come in for a physical exam if it still hurt in two weeks. This would later turn out to be terrible advice because I didn’t have any pain in two weeks even though I had torn my ACL.

MISTAKE #4: My inexperienced doctor not realizing I showed signs of an ACL disruption, which should’ve prompted him to ask me to come in for a physical exam asap.

I began to treat the injury like a sprain, wearing my OTC knee brace around the house, elevating my knee at rest, icing periodically, and using my massage gun. I even had friends come over on Feb 28 and cooked a three course meal which had me on my feet for several hours. Both legs were fairly sore after that.

On Mar 1, five days after the injury, I decided to get on my spin bike with zero resistance. I felt great and was able to get a few brief minutes of movement. I still had random moments of instability when I’d be walking and happen to fully straighten my leg. I still wasn’t sure what to make of this.

I began to notice the quadriceps on my right side were significantly smaller than the left. The muscle felt more like soft cheese when I pinched it. This concerned me, but I still figured there was a possibility I’d be back in shape to skin up and ski down Mt St Helens later in the month with some exercise. My IT band was tender to the touch, and I’d later find out it was my body compensating for the instability post-injury.

MISTAKE #5: I stopped icing my leg as often, given that I didn’t think it was too serious of an injury. I’d later learn the IT band pain I felt would instantly go away as soon as I iced it.

I also noticed I couldn’t sleep on my side without pain in the MCL area. I went down a YouTube rabbit hole and tried every physical test I could to clue into what might be wrong. I wasn’t able to do a Lachman test on myself though. I was confused more than anything. My symptoms didn’t feel very serious, and my resting HR was back to a normal average of 46. On Mar 5, eight days after the injury, I went out for a walk for 2 miles around a museum. My knee felt aggravated even with the brace but it was progress. By March 8, eleven days after, I was able to walk up and down stairs entirely normally.

In the week since my injury, I’d had read a book on shopping for stem cell therapies and PRP, figuring this was the best shot I’d have at accelerating my recovery for Nepal. Again, I figured I had a strain and maybe some light ligament tearing. I still couldn’t explain the dramatic muscle loss though. I scheduled a consultation with an Ortho for March 9th, a full twelve days after injury. This meeting would end up being the turning point for me, and it would dawn on me that I had an ACL tear which would change everything about how I behaved.

I called out the mistakes I made in these two weeks. Here are some of the great things I did. The Amazon links below are affiliate links, which means I get some change if you purchase. Running this site is an expensive hobby.

  • Skiing down with a friend - I should’ve skied down slowly after the injury, but I didn’t. Still, the one thing I did right was allowing a friend to ski with me. I insisted on going back alone because I didn’t want to separate him from the group. He’s a good guy though and saw right through it. It helped a lot emotionally.

  • Accident insurance - Beyond having health insurance, my wife also convinced me to get Aetna’s supplemental accident insurance. I’m still not entirely sure how it works, but I get paid cash for any medical ‘treatment’ related to an injury or accident. There isn’t any paperwork to file, beyond telling them to look through my billing statements. I got $200 for the video call with my primary care doctor (and many hundreds more for the eventual MRI, Ortho visit, etc).

  • Elevated wedge pillow - We coincidentally ended up with this 12 inch wedge pillow just before my injury. It’s quite large and single-purpose, but it is heaps better than stacking random pillows.

  • Getting ROM - I kept testing for my range of motion every day out of curiousity. Within just a few days I was able to get on a spin bike.

  • Really good OTC brace - I bought a knee brace within hours of the injury, knowing it would come in handy. I ended up buying one of the more premium ones and I’m so glad I did. Don’t settle for less. You only have two knees.

In Part 2, I’ll share my prehab story: diagnosing the ACL tear, exercising with an injury, and traveling for several weeks internationally. Part 2 - The Prehab

Seattle daydreams - a year of experiences to look forward to

I put a lot of thought into my outdoor goals list since it gets me out of the house and ensures my continued progress in the activities that make me happy. I also love having experiences closer to home, where all I do is eat and hang out without breaking a sweat. Most of my planning habits started when I lived in NYC, trying to squeeze out as much out of a day as possible. It all helped me learn about and better appreciate the place I grew up in. I’ve taken the same approach to Seattle. These plans are arranged by season, but many of them can be done any time of year. Any specific dates refer to the 2023 calendar and I will be adding to this over the coming years as I come across more ideas.

UPDATE: I made a part II of this.

Winter

King tides - King tides occur when the Puget Sound area gets its highest tides of the year because of the Earth being closer to the sun on its elliptical orbit (which leads to a stronger gravitational pull). The other factor that contributes to these high tides is when the Earth is positioned between the moon and the sun, which adds an additional gravitational pull on the oceans. If the king tide coincides with a storm and strong winds, the effect can be even more dramatic. MyNorthwest has a calendar of when to expect greater than 12-foot tides, but the highest prediction (13.1 feet) will be on Tuesday, January 24 at 7:21am. I’m planning to wake up early and check it out for myself at Golden Gardens. Since I’m already in the area, I figured it’d be ideal to work remotely from Half Moon Bouldering and get lunch at Green Tree (a Kenji recommendation) a block away. Green Tree is closed on Tuesdays though, so maybe I’ll have to check out the tides on a different day. UPDATE: To really see the tides you’ll want to go to the coast. I had a fun morning at Golden Gardens, but there weren’t the big waves (unsurprisingly given the location). Also, Green Tree was incredible (get #69 and #73).

UW Biology Greenhouse - As of Dec 2022, the new 20,000-square-foot greenhouse in Seattle is open to walk-in visitors every Thursday between 12-4pm. The redesigned space hosts tropical and desert plants, and has more advanced technology like sunshades that automatically retract, temperature control, and automated misting for managing humidity. I’d likely visit on a cold and dreary Thursday and grab lunch beforehand at my favorite bakery of all time, Saint Bread, just nearby.

UPDATE: They announced they’d also be open on the 2nd and 4th Saturdays of every month 10am-2pm.

Burke Museum - A friend told me this museum near me is worth checking out. Admission is $22 for a timed-entry ticket. The one downside is that it closes at 5pm, which conflicts with the workday and we’d also prefer to spend our weekends outdoors whenever possible. However, the first Thursday of every month is when the museum stays open til 8pm. I’d likely want to get dinner at the nearby Mark Thai Food Box (pretty good for the area), and maybe even pick up some of their curry pastes for home cooking. Magus Books is nearby and closes at 8pm, so I’d want to check that out since people seem to love this used bookstore so much.

Snohomish Aquatic Center’s FlowRider - Rather than go for their pool to practice swimming, I’m instead interested in their FlowRider. It’s a simulated wave that you surf on and looks pretty fun; I’m not sure how much of it will translate to actual surfing technique though. I’m not as familiar with Snohomish, but I found the historic downtown to be pretty cute when I biked through. After the surf session, we might end up doing the bakery, coffee shop, used bookstore in a log cabin circuit. UPDATE: This was a lot of fun and I’d recommend two hours in the late afternoon. Don’t miss out on that bookstore!

Oscar short films - I don’t care much for the Oscars, but I do get excited about the short film category. Every year in early March, select theaters around the country screen the nominees for best short film in documentary, live action, and animation. What I love is that for the price of a single ticket, you can get a so many powerful stories within each category. The best part is going with friends and taking guesses at which film will win, also glancing over at each other between films to gauge how we felt about what we just saw. My favorite theater in the area is Landmark Crest Cinema, which is very much a small neighborhood theater. It was built 70 years ago and feels like going backwards in time. Depending on when showtime is over, it could be fun to get a shared meal at Jebena Cafe on the way back to the city for some of the best Ethiopian food I’ve had in years.

Kraken game - I don’t have any prior interest in hockey, besides appreciating the logo of the new Seattle Kraken and would be interested to experience the energy of a game. Tickets are quite pricey so I’ve been reluctant. The season lasts til April 13. I’ll be keeping an eye out for last minute sales, but I’m skeptical.

University District Farmer’s Market - I’ve been meaning to check out the farmer’s market but it’s only open on Saturdays between 9am-2pm, when I’d rather be out of the city. I also do most of my grocery shopping at a supermarket for the convenience. If there’s a Saturday this winter when skiing isn’t going to happen, I’d like to make a dinner sourced entirely with things found at the market.

Making a map of Kenji’s Seattle recommendations - Kenji Lopez Alt has been using his Instagram to put a spotlight on some of Seattle’s great food, especially places that have been flying under the radar. I’ve been adding those that interest me to my own list of places to check out, but I think other people would appreciate a map that has every single one of his Seattle recommendations alongside his commentary. I’ve thought about making this for a while for the Seattle reddit community.

UPDATE: Here’s the map I made: https://www.rajahamid.com/journal/kenji-lopez-alt-seattle-recommendation-map?rq=kenji

Hosting friends for dinner - I don’t have this worry as much since many of my friends ski, but it’s too common to not see friends during the winter since it gets dark so early. We’ve always loved hosting and I love cooking for a big group, especially meals that wouldn’t make sense to make for just two people.

Working remotely from a climbing gym - I haven’t been taking advantage of the fact that I can work remotely as much as I could be. A few of the newer gyms have rooms that seem decent for working while getting a climb in every now and then.

Spring

Volunteer Park Conservatory - I took a walk through Volunteer Park last year and tried to visit the Conservatory, a beautiful Victorian-style greenhouse, but it was closed for a private event. Admission is only $4 but it can be free if you go on the first Thursday of the month. Given how small the space is, this is one I’d prefer to avoid the free-day crowds. It’s only open between 10am-4pm, except when it’s closed on Monday. I’d like to check out the Capitol Hill Wishing Tree a short walk away afterward, just to read what some people have written and maybe add one of my own. The Japanese Garden isn’t far and should be open for the spring by then. Admission is only $8 and I’d like to go after the cherry blossom crowds in early May when it closes at 7pm. Since it’ll still be light out, I’d make a date night of it and have dinner at one of my favorites, Taurus Ox, for some bold and aromatic Laotion flavors.

Metsker Maps - I spent almost a decade working on digital maps and have been drawn to them ever since I found an old atlas as a kid. This store sells sells random maps of all kinds and I’d go there to admire the collection. Since I’m already in Pike Place Market, I’d probably check out the other shops, like the vintage print collection at Old Seattle Paperworks and the bites at Sugo Hand Roll Bar before heading to Fossil & Stone, a fine art shop filled with expensive sculptures that I can’t afford.

My Friend Derek’s - I came across this Detroit-style pizza shop by accident. It’s located in Fremont and was started by a guy who needed something to do during the pandemic. The menu is limited, the hours are infrequent and subject to the whims of the owner (Derek?). Assuming he has capacity to take your order, it’s as easy as scheduling one on Tock or sending him a DM on Instagram. I figure taking this over to Gas Works Park at sunset is one way to enjoy it. Another way could be to get a crew together and split the cost of renting one of those hot tub boats while eating dinner on Lake Union.

May Kitchen on Vashon Island - This Thai Restaurant on Vashon Island has become legendary in my imagination given how hard it seems to get a reservation. I keep seeing it referenced as the best Thai restaurant in the state of Washington, and it appears they put an overwhelming amount of thought into the dining experience. The warm walls of teak and mahogany are from a 150-year-old home in Thailand. Much of the interior was imported to truly transport you to another place. Despite the level of thoughtfulness here, the prices are quite reasonable. I’ve never taken the ferry over to Vashon so I figure we could get some mountain biking done at the Dockton Forest on Maury Island. The forty acres of forest was once the location where K2 would test out their mountain bikes before discontinuing production. Most trails are pretty XC. I don’t know much else about the island, but I’m sure there are other cool things to do.

Volunteering with Evergreen - I frequently use the trails that Evergreen Mountain Bike Alliance volunteers help to build, but I do nothing to support the trail network beyond being a member. I’d like to do a dig day at a local trail where I could help rebuild some lines while meeting others and riding my bike.

Reading in Seward Park - My favorite park in Seattle is Seward Park, a hilly knob of a peninsula thrust into Lake Washington. Every time I visit, I’m grateful it wasn’t turned into expensive real estate. The center of the park has a small network of trails snaking through a thick cluster of trees where I’ve seen bald eagles. I’d like to find a quiet spot where I could string up a hammock (without damaging bark) and read a book. I might even pack along a box of treats from The Flour Box nearby, which came on my radar after the bakery was nominated for a James Beard award for their brioche donuts I assume. They’re only open Thur-Sun 10am til they run out (usually 12:30pm) which makes things a bit tricky. On the way back I figure I’d get some goat curry at Safari Njema, one of the few Kenyan restaurants in the city.

Eating in the Chinatown/International District - I’ve got more places saved on my map in this area of the city than anywhere else, but I’ve spent the least amount of time here. Admittedly, I’ve avoided it because of the reputation it had on reddit threads, most notably the intersection of 12th and Jackson. From what I can tell, the area has gotten a lot safer this past year and I’m eager to support the business still around.

Summer

June 26, 9:13pm sunset - My favorite part about the summer is how late the sun sets in Seattle. I love seeing the minutes creep later and later until finally the official sunset time hits 9:13pm. I’m not sure what I’ll do this year, but if I’m in town I’ll be sure to celebrate that moment somehow.

Whale watching at Lime Kiln - I’ve seen orcas and humpback whales while halibut fishing around the waters of Alaska’s Katmai Nat’l Park, but it’d be amazing to see them so close to home. Rather than see them from a chartered whale-watching boat, I’d like to spot the migration from the sea cliffs of Lime Kiln State Park on San Juan Island. The pods pass through the area every May through September, with peak times depending on salmon runs. Leah and I would likely take our bikes across the ferry and ride a loop around the outer perimeter of the island to explore as much as possible.

Blackberry harvesting - Luther Burbank is responsible for the Puget Sound’s invasive blackberry problem. He was a horticulturalist looking to bring a thornless blackberry to market, and eventually came across a particularly plump blackberry in India that grew aggressively in the mild climate of the PNW. He named it the Himalayan Giant and it thrived in every condition throughout Western Washington. Leah harvested some of these in 2021 and made a tart out of it, which was pretty fun and made me feel for a minute like a homesteader. The berries peak in July and August. Just be sure to soak or refrigerate them beforehand.

Golden Gardens beach bonfire - I know that Golden Gardens allows bonfires in designated fire rings between May 29th and Sept 12th, with fires needing to be extinguished by 9:30pm. I’ve only seen beach bonfires in movies with college kids partying late into the night. Growing up in around the housing projects of NYC, those experiences seemed like a world away. It’d be awesome to get my friends together mid to late August when the sunset is a little after 8pm. It’s also near the end of the summer, when we can recap what we’ve gotten done. I’d likely rely on my friend who grew up in Seattle for figuring out details since he’s done this quite often back in the day.

Shilshole Bay salmon from Coho Willy - Just a short walk from Golden Gardens is where you’ll find “Coho Willy” Pratt on the A-Dock of the Shilshole Bay Marina selling salmon out of a giant cooler. Coho Willy would be nearly 80 years old at the time of this writing and has been unloading at A-Dock, reserved for tribal members, his entire life. The salmon is freshly caught from the Suquamish waters on the Kitsap Peninsula, just a few miles west of the dock. The 1855 Treaty of Point Elliott guarantees the right of tribal members to bring in the salmon, securing fishing traditions thousands of years old. I was looking forward to grabbing some myself in 2022, but my freezer was fully stocked with 50lbs of halibut and salmon that I caught myself in Alaska. By the time they set up shop this year, from around late August or early September til the season is over, I should have some space.

Swimming in Colman Pool - I’m slowly getting over my aversion to water activities by swimming in Lake Washington once per month. I expect a lot more swimming in my future and I’d be thrilled to experience the historic Colman Pool, which was donated to the city by Ken Colman. Colman (third-generation member of an influential pioneer family in Seattle) designed, engineered, and built it as a massive outdoor, saltwater pool that overlooks the Salish Sea. The water is pumped straight from the Puget sound but is heated to a comfortable 82 degrees. The pool is usually open between Memorial day into September. Admission is $6 and from what I can tell, the popularity is managed with a 1-hour limited timed entry. Once the season starts up again, I’ll have to figure out how it all works. Since I’d be so close to White Center, I’d want to stop by for a short taco crawl inspired by another Kenji post. The carnitas he recommended at the Taqueria la Fondita truck were phenomenal.

Kayaking/Canoeing on Union Bay - The University of Washington Waterfront Activities Center rents out kayaks and canoes to the public. I enjoy jogging around the wetlands but haven’t taken advantage seeing it all from the water. Rentals seem to be about $20 or less per hour, which is quite affordable. It is a bit weird to be paddling so close to a major roadway, but there’s a lot of wildlife to be seen if you can look past that. The area is popular for bird-watching, evidenced by the safari-vest folks with foot-long telephoto lenses shuffling around. I’d try and go on a day when the mountain is out and it may even be fun to pull up on Madison Park Beach to pick up a pizza across the street from The Independent Pizzeria (another Kenji rec).

Feasting on Yakima Fruit Market in Wayne Park - The Yakima Fruit Market outside Bothell is one of my favorite stores to walk in. It’s been family-owned and operated for almost a century. I love trying to read the massive signs announcing what’s in season whenever I drive past. I decided to bike there on the Burke Gilman to load up on some fruits to eat in the surprisingly idyllic Wayne Park across the road. It was one of my favorite days of the year and I’d like to share that moment with my wife. If we’ve still got an appetite, I can easily be convinced to get a bite at the very good Mexican truck that shares a parking lot with the Chevron on 80th Ave and Bothell Way.

Group picnic in Magnusson Park - I’d like to get a bunch of random friends together to hang out and spend a summer afternoon and evening taking it easy. Magnusson Park is large enough to spread out and easy enough to arrange parking for. I’ve got my favorite spots marked on my map just for this reason.

Fall

Green Lake walk - Every time I walk or run a lap around Green Lake, I think to myself that I should do this more often. My favorite time has been in the autumn when there’s some color in the leaves to balance out the likely grey sky above. On the east side of the lake there’s a new banh mi shop, Toast Mi, which expanded from Tacoma. I haven’t had banh mi since I left NYC and I like the idea of walking around the lake with a sandwich in hand.

O.O. Denny Park - Denny Park has a lot of nature packed into it. There’s a salmon ladder on the creek, proper hiking trails, and lakeside beach views. It also has Sylvia, the 600-year-old tree that fell after a storm. Seattle Times says it’s a Douglass fir but WTA says it’s a cedar, so I’m not sure.

St Marks Episcopal Cathedral concert - I was tuned into this cathedral near Volunteer Park that hosts concerts after an artist I follow mentioned he’d be performing there. I wasn’t able to go, but I like the idea of experiencing a performance in a unique setting. Back in my concert photography days in NYC, my favorite shows were always the ones in interesting locations: the back of a record store, a penthouse above a hotel, etc. There’s a list of upcoming shows that can be found here. I’d likely make a date night of it and grab dinner at the nearby D’ La Santa which has a beautiful interior and coincidentally bunch of crosses on the wall for decoration.

Kraken Iceplex - I invited some friends to join Leah and I two years ago for an afternoon of skating at the new rink up in Northgate. It was a great rainy day activity and I was interested to check out the new building. Despite not knowing how to skate at all, I had a pretty decent time (while wearing my mountain biking elbow and knee pads under my clothes) but I know it could’ve been a lot better. I noticed that they’ve got an Adult Learn to Skate program (eight 30-min classes, 1x/week) throughout the year. Eight weeks is a big commitment for me but I’d like to learn at some point.

SoFar Sounds - Leah tuned me into these concerts a few years ago and I had a great time. If you’re not already familiar, the basic idea is you see local artists perform in intimate venues. You find out the exact location and lineup 36 hours before the event. Usually you’ll be sitting on the floor of a place like an art gallery, living room, a rooftop, etc and can expect to be introduced to some new talent. There’s a promotion for certain Visa credit cards as of this writing where you get access to the a presale and a free second ticket.


I made this list to nudge myself to plan out some of my daydreams so I’d actually do them instead of sitting at home. I kept a few plans secret just to have them for myself and chose not to write about them. There are also a few cool things I don’t know enough about yet to plan thoughtfully or aren’t priorities yet (e.g., kayaking to Blake Island, squid fishing off the pier, Beacon Food Forest, digging for geoduck), but I expect I’ll expand this list. There are also plans that I’ve already done that I didn’t write about here; I’d consider sharing them if there’s enough interest in hearing more.

I hope this gives you some ideas and inspiration. If you don’t already love Seattle, I’m sure you will if you try some of these!