Physical Therapy

We’re in San Francisco for a month so that my wife Stephanie can get knee surgery from a really, really good surgeon.

Since I’m in his clinic every day, this morning I asked him to take a look at a nagging pain in my knees.

While he was examining my left knee, it made a “clunk” sound.

“Huh,” he said.

“Yeah, it always does that,” I said, “what is that?”

“It’s a clunk.”

He then gave me a really good explanation of where the clunk comes from, which I had never understood in 20 years of clunking. (Apparently there’s a fat pad underneath the knee cap which the knee cap rolls over, and if the fat pad is too big, the knee cap makes a sound when it slips over the hump and clunks into place.)

And then he pulled out his medical recorder and started dictating. “Thirty-two year old male presenting with medial pain and clunk in left knee.”

I thought it was pretty funny, the way he kept saying “clunk,” but when I got home I googled and it turns out that patellar clunk syndrome is an actual medical term.

So then we go to see the physical therapist, and the surgeon tells him what’s up with my knees, and I lie on the table and wait for the therapist to get some supplies.

And after a few minutes he walks into the room with a plunger. Like this:

Which he situates over my knee so as to form a seal, and starts pumping up and down, as if to clear an American toilet (German toilets never clog. Seriously, I have never seen a plunger in a German bathroom).

So this whole knee-plunging frenzy, right on the heels of all that talk about clunking, was in my view pretty comical and I was enjoying it all as a piece of art well worth the physical therapy fee, as long as it didn’t do any actual damage.

That is, until the plunger succeeded in detaching the fat pad from underneath my patella and my knees suddenly felt better than they had felt in years.

The clunk is still there, but I’m looking forward to my next therapy session with these crazy knee geniuses.

I took a plunger home with me, too.

Posted on 9 February 2010

No comments

  1. Ben Maurer’s avatar

    pics or it didn’t happen

    Reply

  2. Dan McGuirk’s avatar

    Nat, do you see now that we are actually dreaming all this?

    Reply

  3. Garrett LeSage’s avatar

    The toilet comparison is accurate.

    As a general rule: US toilets have plungers, German toilets have brushes.

    Reply

    1. Jakub Steiner’s avatar

      In the US you drown and in Germany you smear :)

      Reply

      1. Mikael Hallendal’s avatar

        @Jakub, Haha, too true!

        Reply

  4. Jakub Steiner’s avatar

    You make your body disintegrating sound so funny!

    Reply

  5. daniels’s avatar

    Patellar clunk syndrome! That’s what that fucking annoying thing is!

    Reply

  6. oliver’s avatar

    In Germany the plunger is used for the bath tub drain; I wouldn’t know actually how to apply it to German toilets…

    Reply

  7. Stormy’s avatar

    That cracks me up! Thanks for sharing.

    The question is, what did they charge you for the plunger?

    Reply

  8. Peach’s avatar

    i want to try that plunger on my shoulder…….

    Reply

  9. Daniel Friedman’s avatar

    I bet, however, that the plunger is way more expensive in Germany.

    Reply

  10. james’s avatar

    this was hilarious. i had to say so. thanks.

    Reply

  11. Kalle’s avatar

    Haha, this was a good read! :)

    Reply

  12. Freud’s avatar

    :) very funny , good read.

    Reply

  13. Sput’s avatar

    Nah, plungers are cheap in Germany, we have those here too, as oliver said, for cleaning bath tub drains sometimes…

    But it’s true, German toilets never clog, possibly because we use a tube that’s wide enough for the average dump. Never got why American toilets are built like they are, and routinely managed to flood bath rooms when I lived overseas ;-)

    Reply

  14. Wendell MacKenzie’s avatar

    Do Germans frequent Greek bars often I wonder??

    Reply

  15. Brad’s avatar

    So your wife and you both have knee problems?

    You started out by saying, “so that my wife Stephanie can get knee surgery”, and then you tell a story about your own knee problem and fix. lol

    Reply

  16. Benny C’s avatar

    Pity it probably cost you a small fortune to see such a surgeon in the US, when you could have seen one in the UK for free.

    Reply

    1. Nat Friedman’s avatar

      The particular procedure she needed isn’t done in the UK.

      Reply

  17. Zac Bowling’s avatar

    we should do lunch sometime.

    Reply

  18. Dave’s avatar

    I’m going to have to send this link to a friend whose knees make a nasty clicking sound. Maybe he’s lucky and it’s this, instead of a shredded meniscus. Although he sometimes has the knee “lock up” which I think indicates meniscus stuff. Let’s see.

    Reply