{"id":17143,"date":"2018-07-20T10:22:57","date_gmt":"2018-07-20T16:22:57","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=17143"},"modified":"2025-03-07T09:14:09","modified_gmt":"2025-03-07T16:14:09","slug":"avid-cyclist-pedaling-again-after-partial-knee-replacement","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/avid-cyclist-pedaling-again-after-partial-knee-replacement\/","title":{"rendered":"Avid cyclist pedaling again after a partial knee replacement"},"content":{"rendered":"
<\/div>

Independence Pass. Pikes Peak. Mount Evans.<\/p>\n

They\u2019re notches on the belt, or maybe checkmarks on the bucket list, for many cyclists who visit Colorado to partake in the challenge as well as those who call Colorado home.<\/p>\n

\"Cyclist
Rich Trostel took a quick selfie to mark reaching the summit of Pikes Peak on his road bike. Photo courtesy of Rich Trostel.<\/figcaption><\/figure>\n

For Granby, Colorado, resident Rich Trostel, bike time is his time \u2013 a chance to exercise, be outside, and enjoy fresh air and the beauty of nature.<\/p>\n

\u201cYou don\u2019t get to appreciate nature until you get out in it,\u201d Trostel believes.<\/p>\n

Slowly going downhill<\/strong><\/h3>\n

When Trostel goes mountain biking, he travels about 15 miles at a time. On his road bike, he ranges 30 to 60 miles per ride. He likes the challenge of a good climb, but doesn\u2019t consider himself a very technical mountain biker.<\/p>\n

\"Cyclist
Rich Trostel gives a thumbs-up after completing his first post-surgery ride. Photo courtesy Rich Trostel.<\/figcaption><\/figure>\n

\u201cI\u2019m not a downhill mountain biker who rides the ski lift up,\u201d he said.<\/p>\n

Over the past three to five years, Trostel, 55, began noticing some pain and stiffness in his right knee, and he chalked it up to his love of the sport. Progressively though, it kept getting worse.<\/p>\n

\u201cI hate going to the doctor and usually wait until things get pretty bad before doing something about it,\u201d he said. \u201cAnytime I\u2019d do a lengthy hike or bike ride, I\u2019d pay the price with knee pain and discomfort.\u201d<\/p>\n

He turned to his family physician, who administered cortisone shots for a period of time, but each injection only provided a day or two of pain relief. He then received a referral to Dr. Alexander Meininger<\/a>, an orthopedic sports medicine surgeon and member of the medical staff at UCHealth Yampa Valley Medical Center<\/a> in Steamboat Springs.<\/p>\n

\"Rich
Rich Trostel at Independence Pass on the Continental Divide. Photo courtesy of Rich Trostel.<\/figcaption><\/figure>\n

Trostel received orthopedic x-rays and a diagnosis of osteoarthritis. Meininger recommended attempting another cortisone shot, but Trostel still saw the same results from the injection.<\/p>\n

\u201cWe talked for a while, about what the next options might be,\u201d said Trostel. \u201cWe decided to try Orthovisc treatment.\u201d During the treatment, Meininger injected hyaluron acid, a component of synovial fluid, the lubrication that occurs naturally in the joints, into Trostel\u2019s knee in hopes it would provide some relief.<\/p>\n

\u201cI received a series of three shots, each a week apart,\u201d said Trostel. \u201cSome people have results; unfortunately, I didn\u2019t.\u201d<\/p>\n

Stem cell injections were another option for arthritis, but they weren\u2019t covered under Trostel\u2019s insurance and were quite expensive. Plus, with mixed results, it was a gamble to go that route and not have it work. That left the one option \u2013 a unicompartmental right knee arthroplasty<\/a>. Often known as a partial knee replacement, the procedure involves replacing the worn out cartilage only on the damaged side of the knee where arthritis and inflammation are causing pain, leaving the intact cartilage in the rest of the knee undisturbed.<\/p>\n

Knee replacement during \u2018shoulder season\u2019<\/strong><\/h3>\n

Trostel specifically scheduled his procedure for the winter \u2013 Feb. 21\u00a0\u2013 so the surgery, recovery and rehab would be done in time for summer activities.<\/p>\n

During his pre-surgery appointment, Meininger shared with Trostel that depending on how the surgery went, he could possibly be a candidate for a same-day discharge. He was healthy and didn\u2019t have any other medical concerns.<\/p>\n

\"Avid
Rich Trostel at the summit of Mount Evans, elevation 14,130 feet. Photo courtesy of Rich Trostel.<\/figcaption><\/figure>\n

\u201cThat intrigued me, being that I\u2019m not a fan of doctors\u2019 offices and hospitals,\u201d said Trostel. \u201cIt all depended on how things went in the operating room and how I did following the procedure.\u201d<\/p>\n

Trostel and Tracy, his wife of 29 years drove to Steamboat Springs the night before the procedure. The next morning, they arrived at Yampa Valley Medical Center.<\/p>\n

\u201cIt all happened so fast after we arrived,\u201d he recalls. \u201cThe prep, the procedure itself. We felt very well informed. Once I was out of recovery and cleared to discharge, I was ready to go. I wanted to get home and start the healing process.\u201d<\/p>\n

Gearing up<\/strong><\/h3>\n

Back in Granby, Trostel had his first physical therapy appointment four days after surgery.<\/p>\n

\u201cI didn\u2019t want rehab to be a long drawn-out process,\u201d he said. \u201cI knew if I sat around and didn\u2019t do anything, it would just prolong the rehab situation. I wanted to make sure I did what the doctor and physical therapist told me to do.\u201d<\/p>\n

Trostel had high expectations for his recovery and a desire to ride again as soon as possible.<\/p>\n

\u201cAt my post-op appointment two weeks after surgery, Dr. Meininger had to tell me a couple times that I was doing well with my recovery,\u201d Trostel said. \u201cAs a biker himself, it was nice that he understood my perspective and desire to get back to biking.\u201d<\/p>\n

Back on the bike<\/strong><\/h3>\n

On May 5, just 10 weeks following surgery, Trostel buckled on his helmet for his first ride. He took his road bike on Highway 40 from Granby, approximately seven miles west of Parshall and back, for a total of 45 miles.<\/p>\n

The next day, he rode from their home on the Granby to Fraser Trail until he reached Granby Ranch Ski Area<\/a>, where he had to turn around due to lingering snow and mud. That was a 12 mile ride.<\/p>\n

Over Memorial Day weekend, he headed to the Red Rock Canyon Open Space<\/a> outside Colorado Springs. Although the rear shifter on his bike broke only 4.5 miles into his ride, he was able to complete 14.5 miles on the trails the first day.<\/p>\n

\u201cPhysically, the knee has felt good,\u201d Trostel said. \u201cI haven\u2019t been nervous to put my knee to the test, but have been a little concerned about the possibility of crashing, which I do sometimes, and causing significant injury to my knee.\u201d<\/p>\n

\u201cIce after a ride helps,\u201d he said. \u201cI was tired after that ride in Colorado Springs, but nothing a cold IPA couldn\u2019t fix.\u201d<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Independence Pass. Pikes Peak. Mount Evans. They\u2019re notches on the belt, or maybe checkmarks on the bucket list, for many cyclists who visit Colorado to partake in the challenge as well as those who call Colorado home. For Granby, Colorado, resident Rich Trostel, bike time is his time \u2013 a chance to exercise, be outside, […]<\/p>\n","protected":false},"author":2146,"featured_media":17154,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[5],"tags":[2863,3063,183,2518],"class_list":["post-17143","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-innovative-care","tag-knee-injury","tag-orthopedic-joint-replacement-preservation","tag-orthopedics","tag-uchealth-yampa-valley-medical-center"],"acf":[],"yoast_head":"\nAvid cyclist pedaling again after a partial knee replacement - 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